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?

  1. AA lasting change in bowel habit with rectal bleeding
  2. BMild bloating before a period
  3. COne episode of loose stools after a takeaway meal
  4. DOccasional wind and rumbling after eating a meal of beans
2.Mudah

Which is a main benefit of early mobilisation after surgery?

  1. ALower risk of chest infection and blood clots
  2. BIt prevents all postoperative pain
  3. CLess need to check the wound at all
  4. DFaster absorption of the anaesthetic gas
3.Mudah

What is a common reason for giving a premedication before surgery?

  1. ATo replace the general anaesthetic
  2. BTo treat the surgical wound in advance
  3. CTo reduce anxiety
  4. DTo make the patient hungry after surgery
4.Sederhana

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

  1. AWait until there has been no stool for a week
  2. BStart a regular laxative at the same time
  3. CStop eating fibre completely
  4. DTake a bulk-forming laxative only with very little water
5.Sederhana

Why are laxatives and enemas avoided when appendicitis is suspected?

  1. AThey always cause the appendix to bleed heavily
  2. BThey stop antibiotics from being absorbed
  3. CThey make the blood tests impossible to read
  4. DThey may increase the risk of perforation
6.Sederhana

Which finding suggests a deep tissue pressure injury?

  1. ADry, flaky skin on both shins
  2. BPale pink skin that blanches quickly when pressed
  3. CA small scratch on the skin with a little fresh red blood
  4. 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?

  1. ACecair jernih sahaja sehingga luka lecuran sembuh
  2. BDiet rendah protein untuk melindungi buah pinggang daripada kerosakan
  3. CBerpuasa selama dua minggu untuk merehatkan usus sepenuhnya
  4. 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?

  1. ADiscuss reducing the fluid rate with the team
  2. BStop all IV fluids completely and remove the catheter
  3. CGive a diuretic without discussing it
  4. DIncrease the fluid rate to keep the output high

Kunci jawapan

  1. 1. A · A lasting change in bowel habit with rectal bleeding
  2. 2. A · Lower risk of chest infection and blood clots
  3. 3. C · To reduce anxiety
  4. 4. B · Start a regular laxative at the same time
  5. 5. D · They may increase the risk of perforation
  6. 6. D · Intact skin that is purple or maroon over a bony area
  7. 7. D · Pemakanan enteral awal, tinggi tenaga dan protein
  8. 8. A · Discuss reducing the fluid rate with the team

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