Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan

Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.

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Nama: ____________________   Tarikh: ____________

1.Mudah

Which bedside test is commonly used to check that a nasogastric tube is in the stomach before each use?

  1. AAsking the patient whether it feels comfortable
  2. BTesting aspirate with pH paper
  3. CPutting the tube end in a cup of water
  4. DListening for a "whoosh" of injected air
2.Mudah

Pain is usually called chronic when it lasts longer than about how long?

  1. AThree weeks
  2. BThree days
  3. CThree months
  4. DThree hours
3.Mudah

What is the purpose of anti-embolism stockings for surgical patients?

  1. ATo keep the legs warm in theatre
  2. BTo prevent pressure ulcers on the heels
  3. CTo reduce the risk of deep vein thrombosis
  4. DTo lower the blood pressure after surgery
4.Sederhana

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

  1. AFlush with 50 mL of air and start the feed
  2. BStart the feed slowly and watch the patient closely for coughing
  3. CGive the medicines but not the feed
  4. DDo not use it; re-test later or arrange an X-ray as per policy
5.Sederhana

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

  1. ASign the form on the patient's behalf as a witness
  2. BAsk the patient to sign quickly before they get sleepier
  3. CAsk a relative to sign instead of the patient
  4. DTell the surgeon, as the patient may not be able to consent now
6.Sederhana

Which liver function test pattern suggests bile duct obstruction?

  1. ANormal bilirubin with a low ALP and low GGT
  2. BHigh bilirubin with a markedly raised ALP and GGT
  3. CA low albumin with all other results normal
  4. DVery high ALT with a normal bilirubin only
7.Sukar

On day 3 after admission, a patient with alcohol dependence becomes confused, with hallucinations, sweating, tremor, fever and tachycardia. What is the most likely cause?

  1. AHepatitis A caught on the ward
  2. BAn allergic reaction to hospital food
  3. CDelirium tremens from alcohol withdrawal
  4. DNormal anxiety about being in hospital
8.Sukar

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

  1. ANormal swelling after neck surgery
  2. BAn allergy to the wound dressing
  3. CLow blood calcium from the surgery
  4. DA haematoma pressing on the airway

Kunci jawapan

  1. 1. B · Testing aspirate with pH paper
  2. 2. C · Three months
  3. 3. C · To reduce the risk of deep vein thrombosis
  4. 4. D · Do not use it; re-test later or arrange an X-ray as per policy
  5. 5. D · Tell the surgeon, as the patient may not be able to consent now
  6. 6. B · High bilirubin with a markedly raised ALP and GGT
  7. 7. C · Delirium tremens from alcohol withdrawal
  8. 8. D · A haematoma pressing on the airway

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