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

When should pain be reassessed after giving analgesia?

1. ANever, as one assessment is enough
2. BOnly at the next routine observation round the next day
3. CWhen the drug is expected to have taken effect
4. DOnly if the patient asks for more analgesia

Kesan sampingan opioid manakah yang biasanya tidak berkurang dengan penggunaan berterusan?

1. ALoya dan muntah
2. BSedasi
3. CSembelit
4. DGatal

What does the ASA physical status classification describe?

1. AThe type of anaesthetic drug the surgeon prefers
2. BThe patient's pain score after surgery
3. CThe exact length of the planned operation
4. DThe patient's general health before anaesthesia

Which practice is correct when giving parenteral nutrition through a central line?

1. ADisconnect and reconnect the line without cleaning the hub
2. BLet the bag hang at room temperature for several days
3. CGive other IV drugs through the same lumen to save time
4. DUse a dedicated lumen and strict aseptic technique

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. CLess pain and a shorter hospital stay
4. DNo need for a general anaesthetic ever

Apakah keutamaan pertama apabila pesakit tiba di bilik pemulihan selepas anestesia am?

1. ASaluran udara dan pernafasan
2. BSejarah ubat
3. CSeteguk air
4. DPembalut luka dan saliran

Seorang pesakit yang dipasang stent koronari dua bulan lalu, mengambil aspirin dan klopidogrel, hadir dengan melena dan kini stabil. Apakah pendekatan yang paling sesuai terhadap ubat antiplatelet?

1. AMenggandakan kedua-dua dos, kerana pendarahan bermakna stent berisiko lebih besar untuk berbekuan
2. BMelaporkan pendarahan; pasukan memutuskan dengan input kardiologi, menimbang pendarahan berbanding trombosis stent
3. CMenghentikan kedua-dua ubat secara kekal, kerana sebarang pendarahan bermakna ia tidak lagi selamat
4. DMeneruskan kedua-dua ubat tanpa perubahan dan tidak menyebut pendarahan kepada pasukan

A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?

1. A"Severe abdominal pain is normal for a week afterwards."
2. B"Some wind and bloating today is expected."
3. C"I'll report heavy bleeding from my bottom."
4. D"I should report a fever or a swollen, painful abdomen."