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

In TNM staging of cancer, what does "N" describe?

1. ASpread to nearby lymph nodes
2. BThe new cells formed after treatment
3. CThe nerve damage caused by the tumour
4. DThe number of tumours in the body

What does dysphagia mean?

1. APainful passing of urine
2. BIndigestion after fatty food
3. CDifficulty speaking clearly
4. DDifficulty swallowing

If hair must be removed before surgery, which method is recommended?

1. AA razor shave the night before surgery
2. BA wax strip several days before surgery
3. CPulling the hairs out with tweezers
4. DElectric clippers on the day of surgery

Mengapakah tablet lepas terubah suai atau bersalut enterik mungkin tidak berfungsi dengan baik bagi pesakit dengan ileostomi?

1. APesakit dengan ileostomi tidak boleh mengambil sebarang ubat oral
2. BTransit pantas bermakna ia mungkin lalu sebelum melepaskan ubat
3. CStoma menyerap ubat terlalu cepat ke dalam darah
4. DEnzim ileostomi memusnahkan setiap jenis ubat oral

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

1. ADua hingga tiga najis lembut sehari
2. BTiada pergerakan usus selama beberapa hari
3. CSatu najis keras setiap minggu
4. DSepuluh atau lebih najis berair sehari

What is the most important safety point about misoprostol?

1. AIt must be given only by deep intramuscular injection
2. BIt causes severe constipation in most patients
3. CIt can cause miscarriage and must not be used in pregnancy
4. DIt strongly raises blood glucose in people with diabetes

A patient with gallstones has a temperature of 39 °C with rigors, jaundice and right upper abdominal pain. What should the nurse suspect?

1. AAscending cholangitis
2. BSimple biliary colic
3. CAcute hepatitis A
4. DUncomplicated reflux

After forearm fracture surgery, a patient has severe pain not eased by opioids, made worse by passively moving the fingers. What should the nurse do?

1. ARaise the arm as high as possible and give a further dose of opioid
2. BLoosen any tight dressing, keep the arm at heart level and escalate
3. CReassure the patient that this pain is expected
4. DApply ice and a tighter bandage to reduce the swelling