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

What is the key difference between a benign and a malignant tumour?

  1. AA malignant tumour never needs any treatment
  2. BA benign tumour always spreads to the lymph nodes
  3. CA benign tumour always grows faster than a malignant one
  4. DA malignant tumour invades nearby tissue and can spread
2.Mudah

Why are swabs, sharps and instruments counted during surgery?

  1. ATo calculate the cost of the operation
  2. BTo prevent items being left inside the patient
  3. CTo check the stock in the store room
  4. DTo decide how long the operation took
3.Mudah

Which signs suggest early hypovolaemic shock after surgery?

  1. ASlow heart rate, flushed skin and warm hands
  2. BNormal pulse with heavy sweating only after meals
  3. CRising heart rate, cool skin and slow capillary refill
  4. DHigh blood pressure with a fast, bounding pulse
4.Sederhana

Tanda manakah yang menunjukkan pankreatitis akut yang teruk dengan pendarahan ke dalam tisu?

  1. APerubahan warna kuning pada kuku jari
  2. BRuam ungu pada tapak tangan dan kaki
  3. CBengkak pada bibir, lidah dan muka
  4. DLebam di sekeliling pusat atau rusuk
5.Sederhana

Which change suggests that a burn wound is becoming infected?

  1. AThe wound becoming pink and a little smaller at each dressing change
  2. BDry, healing skin with mild itching
  3. CA partial-thickness burn becoming deeper, with new discolouration
  4. DLess exudate on each dressing change
6.Sederhana

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

  1. ATo find the bacteria in the wound
  2. BTo find out how deep the ulcer is
  3. CTo exclude significant arterial disease
  4. DTo check for a leg bone fracture
7.Sukar

On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

  1. AEncourage oral fluids and wait for the doctor's round
  2. BEscalate urgently and start the sepsis pathway
  3. CGive paracetamol and recheck in four hours
  4. DRecord the observations and continue routine care
8.Sukar

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

  1. AIt causes the surgical wound to bleed more
  2. BIt raises the risk of ketoacidosis, even with near-normal glucose
  3. CIt interacts with all general anaesthetic gases and stops them working
  4. DIt makes the patient's potassium dangerously high

Kunci jawapan

  1. 1. D · A malignant tumour invades nearby tissue and can spread
  2. 2. B · To prevent items being left inside the patient
  3. 3. C · Rising heart rate, cool skin and slow capillary refill
  4. 4. D · Lebam di sekeliling pusat atau rusuk
  5. 5. C · A partial-thickness burn becoming deeper, with new discolouration
  6. 6. C · To exclude significant arterial disease
  7. 7. B · Escalate urgently and start the sepsis pathway
  8. 8. B · It raises the risk of ketoacidosis, even with near-normal glucose

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