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?
AAsking the patient whether it feels comfortable
BTesting aspirate with pH paper
CPutting the tube end in a cup of water
DListening for a "whoosh" of injected air
2.Mudah
Pain is usually called chronic when it lasts longer than about how long?
AThree weeks
BThree days
CThree months
DThree hours
3.Mudah
What is the purpose of anti-embolism stockings for surgical patients?
ATo keep the legs warm in theatre
BTo prevent pressure ulcers on the heels
CTo reduce the risk of deep vein thrombosis
DTo lower the blood pressure after surgery
4.Sederhana
Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?
AFlush with 50 mL of air and start the feed
BStart the feed slowly and watch the patient closely for coughing
CGive the medicines but not the feed
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?
ASign the form on the patient's behalf as a witness
BAsk the patient to sign quickly before they get sleepier
CAsk a relative to sign instead of the patient
DTell the surgeon, as the patient may not be able to consent now
6.Sederhana
Which liver function test pattern suggests bile duct obstruction?
ANormal bilirubin with a low ALP and low GGT
BHigh bilirubin with a markedly raised ALP and GGT
CA low albumin with all other results normal
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?
AHepatitis A caught on the ward
BAn allergic reaction to hospital food
CDelirium tremens from alcohol withdrawal
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?
ANormal swelling after neck surgery
BAn allergy to the wound dressing
CLow blood calcium from the surgery
DA haematoma pressing on the airway
Kunci jawapan
1. B · Testing aspirate with pH paper
2. C · Three months
3. C · To reduce the risk of deep vein thrombosis
4. D · Do not use it; re-test later or arrange an X-ray as per policy
5. D · Tell the surgeon, as the patient may not be able to consent now
6. B · High bilirubin with a markedly raised ALP and GGT
7. C · Delirium tremens from alcohol withdrawal
8. D · A haematoma pressing on the airway
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