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
Which symptom in an adult over 50 is a red flag for colorectal cancer?
AA lasting change in bowel habit with rectal bleeding
BMild bloating before a period
COne episode of loose stools after a takeaway meal
DOccasional wind and rumbling after eating a meal of beans
2.Mudah
Which is a main benefit of early mobilisation after surgery?
ALower risk of chest infection and blood clots
BIt prevents all postoperative pain
CLess need to check the wound at all
DFaster absorption of the anaesthetic gas
3.Mudah
What is a common reason for giving a premedication before surgery?
ATo replace the general anaesthetic
BTo treat the surgical wound in advance
CTo reduce anxiety
DTo make the patient hungry after surgery
4.Sederhana
A patient is starting regular oral morphine. Which bowel advice is most appropriate?
AWait until there has been no stool for a week
BStart a regular laxative at the same time
CStop eating fibre completely
DTake a bulk-forming laxative only with very little water
5.Sederhana
Why are laxatives and enemas avoided when appendicitis is suspected?
AThey always cause the appendix to bleed heavily
BThey stop antibiotics from being absorbed
CThey make the blood tests impossible to read
DThey may increase the risk of perforation
6.Sederhana
Which finding suggests a deep tissue pressure injury?
ADry, flaky skin on both shins
BPale pink skin that blanches quickly when pressed
CA small scratch on the skin with a little fresh red blood
DIntact skin that is purple or maroon over a bony area
7.Sukar
Seorang pesakit dengan lecuran 35% TBSA memasuki fasa hipermetabolik. Pelan pemakanan manakah yang paling sesuai?
ACecair jernih sahaja sehingga luka lecuran sembuh
BDiet rendah protein untuk melindungi buah pinggang daripada kerosakan
CBerpuasa selama dua minggu untuk merehatkan usus sepenuhnya
DPemakanan enteral awal, tinggi tenaga dan protein
8.Sukar
During burn resuscitation, a 70 kg adult's urine output has been 120 mL/h for 3 hours, and the face and limbs are very oedematous. What should the nurse do?
ADiscuss reducing the fluid rate with the team
BStop all IV fluids completely and remove the catheter
CGive a diuretic without discussing it
DIncrease the fluid rate to keep the output high
Kunci jawapan
1. A · A lasting change in bowel habit with rectal bleeding
2. A · Lower risk of chest infection and blood clots
3. C · To reduce anxiety
4. B · Start a regular laxative at the same time
5. D · They may increase the risk of perforation
6. D · Intact skin that is purple or maroon over a bony area
7. D · Pemakanan enteral awal, tinggi tenaga dan protein
8. A · Discuss reducing the fluid rate with the team
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