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.

Lembaran kerja baharuBerlatih dalam talian dengan petunjuk

Untuk pensyarah dan guru: percuma untuk dicetak, disalin dan digunakan di dalam kelas. Setiap lembaran kerja baharu mempunyai nilai baharu dan skema jawapannya sendiri. Pautan ke ExamProblems di halaman kursus anda amat dihargai.

Nama: ____________________   Tarikh: ____________

1.Mudah

Why are swabs, sharps and instruments counted during surgery?

  1. ATo calculate the cost of the operation
  2. BTo decide how long the operation took
  3. CTo prevent items being left inside the patient
  4. DTo check the stock in the store room
2.Mudah

What is a Hartmann's procedure?

  1. APlacing a stent in the bile duct
  2. BJoining the stomach directly to the small bowel
  3. CRemoval of the gallbladder through several small abdominal incisions
  4. DRemoval of part of the colon with an end colostomy and rectal stump
3.Mudah

How should a patient be positioned during enteral tube feeding?

  1. ALying on the stomach with the head turned to one side
  2. BWith the head lower than the feet
  3. CWith the head of the bed raised to at least 30–45°
  4. DLying completely flat on the back with one pillow
4.Sederhana

Which rule about the sterile field is correct?

  1. AA sterile pack stays sterile even when it is wet
  2. BSterile items can be passed across a non-sterile area freely
  3. CIf sterility is in doubt, the item is treated as contaminated
  4. DThe area below a gowned person's waist is sterile
5.Sederhana

Which medicine commonly delays wound healing?

  1. ASaline eye drops
  2. BParacetamol
  3. CLong-term corticosteroids
  4. DVitamin C supplements
6.Sederhana

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

  1. AThey kill the normal bowel bacteria
  2. BThey may keep toxin in the bowel and risk toxic megacolon
  3. CThey cause serious liver failure in most patients who take them
  4. DThey make the stool sample test positive falsely
7.Sukar

A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?

  1. AAdvise eating more fibre and fruit to firm up the stools
  2. BEscalate urgently, as immune-related colitis is likely
  3. CReassure that diarrhoea is normal and harmless
  4. DGive loperamide and review next week
8.Sukar

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

  1. ARecord a 12-lead ECG and escalate as possible cardiac pain
  2. BAdvise the patient to avoid spicy food at future meals
  3. CBook a routine endoscopy for later in the week
  4. DGive an antacid and reassess the pain in an hour

Kunci jawapan

  1. 1. C · To prevent items being left inside the patient
  2. 2. D · Removal of part of the colon with an end colostomy and rectal stump
  3. 3. C · With the head of the bed raised to at least 30–45°
  4. 4. C · If sterility is in doubt, the item is treated as contaminated
  5. 5. C · Long-term corticosteroids
  6. 6. B · They may keep toxin in the bowel and risk toxic megacolon
  7. 7. B · Escalate urgently, as immune-related colitis is likely
  8. 8. A · Record a 12-lead ECG and escalate as possible cardiac pain

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