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

What is an incisional hernia?

1. AA bulge of stomach through the diaphragm
2. BA bulge through a weakened surgical scar
3. CA swelling in the groin present from birth
4. DA pouch in the wall of the colon

Which exercises are usually taught to patients before major surgery?

1. ALong-distance running every day
2. BHolding the breath for as long as possible
3. CHeavy weightlifting to build strength
4. DDeep breathing, coughing and leg exercises

Where should a diathermy return electrode (plate) be placed?

1. AOver a bony area such as the hip bone
2. BOver a metal joint replacement
3. COn skin covered with spirit-based prep that is still wet
4. DOn clean, dry skin over a well-perfused muscle

Which lifestyle change most improves the course of Crohn's disease?

1. AStopping smoking
2. BDrinking more coffee
3. CEating more red meat
4. DAvoiding all exercise

Which is a recognised cause of anaphylaxis during surgery?

1. AChlorhexidine skin preparation
2. BA warmed blanket
3. CThe patient's own blood from cell salvage
4. DSterile normal saline

How are skin staples usually removed from a healed incision?

1. AAlternate staples first, then the rest if the wound holds
2. BThe staples are left in permanently under the skin
3. COnly the staples at each end, leaving the others for good
4. DAll staples at once by pulling each one straight up from the skin

Seorang pesakit yang menerima filgrastim (G-CSF) selepas kemoterapi bertanya kesan sampingan apa yang patut dijangka. Kesan sampingan manakah yang paling lazim?

1. AKeguguran rambut sepenuhnya dalam beberapa hari selepas suntikan pertama
2. BKehilangan pendengaran yang kekal
3. CPenurunan pantas kiraan sel darah putih
4. DSakit tulang yang menyengat, kerana sumsum tulang dirangsang

Sepuluh hari selepas kemoterapi, seorang pesakit mempunyai suhu 37.6 °C tetapi berasa menggigil dan tidak sihat, dengan nadi 112/min dan TD 95/60 mmHg. Apakah tindakan yang betul?

1. AMenenangkan pesakit, kerana suhu masih di bawah 38 °C
2. BMenunggu kiraan neutrofil sebelum memutuskan sebarang rawatan
3. CMerawat sebagai kemungkinan sepsis neutropenik: antibiotik IV dalam masa sejam
4. DMemberikan parasetamol dan menyemak semula suhu dalam empat jam