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
How is parenteral nutrition given?
AInto the muscle of the thigh
BBy mouth as a thick supplement drink
CThrough a nasogastric tube into the stomach
DInto a vein, usually through a central line
2.Mudah
What is a Hartmann's procedure?
ARemoval of the gallbladder through several small abdominal incisions
BRemoval of part of the colon with an end colostomy and rectal stump
CJoining the stomach directly to the small bowel
DPlacing a stent in the bile duct
3.Mudah
In TNM staging of cancer, what does "N" describe?
AThe new cells formed after treatment
BThe number of tumours in the body
CThe nerve damage caused by the tumour
DSpread to nearby lymph nodes
4.Sederhana
Mengapakah tablet lepas terubah suai atau bersalut enterik mungkin tidak berfungsi dengan baik bagi pesakit dengan ileostomi?
APesakit dengan ileostomi tidak boleh mengambil sebarang ubat oral
BTransit pantas bermakna ia mungkin lalu sebelum melepaskan ubat
CStoma menyerap ubat terlalu cepat ke dalam darah
DEnzim ileostomi memusnahkan setiap jenis ubat oral
5.Sederhana
How should a patient with facial burns usually be positioned?
ALying flat with the head lower than the feet
BLying face down on the pillow to protect the airway
CWith the head of the bed raised to reduce swelling
DIn any position that keeps the face covered
6.Sederhana
Pernyataan manakah tentang analgesia multimodal yang betul?
AHanya satu analgesik patut diberikan pada satu masa
BUbat dengan tindakan berbeza digabungkan untuk mengurangkan keperluan opioid
CIa kaedah yang digunakan hanya untuk kesakitan kronik jangka panjang
DBeberapa opioid berbeza digabungkan untuk kesan keseluruhan yang lebih kuat
7.Sukar
Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?
AWithhold the next dose and report to the prescriber
BGive the next dose with extra food
CChange to a higher-strength NSAID tablet
DIncrease the dose to treat the pain better and encourage fluids
8.Sukar
A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?
AConsider an alternative; if an NSAID is needed, add a PPI
BCombine two different NSAIDs at lower doses
CTake the NSAID with a glass of milk instead of food
DUse the highest NSAID dose to shorten the course
Kunci jawapan
1. D · Into a vein, usually through a central line
2. B · Removal of part of the colon with an end colostomy and rectal stump
3. D · Spread to nearby lymph nodes
4. B · Transit pantas bermakna ia mungkin lalu sebelum melepaskan ubat
5. C · With the head of the bed raised to reduce swelling
6. B · Ubat dengan tindakan berbeza digabungkan untuk mengurangkan keperluan opioid
7. A · Withhold the next dose and report to the prescriber
8. A · Consider an alternative; if an NSAID is needed, add a PPI
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