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

How does the pain of acute appendicitis typically progress?

1. AIt starts in the right shoulder, then moves to the chest
2. BIt stays in the upper abdomen and eases after meals
3. CIt starts in the left lower abdomen, then spreads to the back
4. DIt starts around the umbilicus, then moves to the right lower abdomen

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo remove the whole colon permanently in a single operation
2. BTo drain urine from the kidneys
3. CTo divert stool while the join further down heals
4. DTo let the patient eat without chewing

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AA lasting change in bowel habit with rectal bleeding
2. BOccasional wind and rumbling after eating a meal of beans
3. CMild bloating before a period
4. DOne episode of loose stools after a takeaway meal

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. AIt is needed to calculate the anaesthetic drug dose
2. BPregnant women cannot sign consent forms
3. CPregnancy always makes surgery impossible
4. DAnaesthesia, drugs and some tests may harm a fetus

Seorang pesakit sirosis mengambil laktulosa untuk ensefalopati hepatik. Apakah matlamat biasa?

1. ASatu najis keras setiap minggu
2. BSepuluh atau lebih najis berair sehari
3. CDua hingga tiga najis lembut sehari
4. DTiada pergerakan usus selama beberapa hari

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ANo risk of any complications at all
2. BLarger wounds that heal faster
3. CNo need for a general anaesthetic ever
4. DLess pain and a shorter hospital stay

A nurse teaches a patient about a fentanyl skin patch. Which statement shows a need for further teaching?

1. A"I won't put a hot water bottle over the patch."
2. B"I'll fold used patches sticky sides together before disposal."
3. C"I can cut the patch in half if I need less."
4. D"I'll put the new patch on a different area of skin."

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AUse the spare identity band from the front of the patient's notes folder
2. BStop and confirm identity, then apply a band
3. CProceed because the patient can say their name
4. DProceed and add a band once in recovery