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

Mengapakah suhu rektum dan supositori dielakkan pada pesakit neutropenia?

1. AIa boleh merosakkan mukosa dan membenarkan bakteria masuk ke dalam darah
2. BIa menyebabkan kiraan sel darah putih pesakit jatuh lebih jauh
3. CIa mengganggu penyerapan kemoterapi
4. DIa sentiasa memberikan bacaan suhu yang rendah secara palsu

Which preoperative allergy must be communicated so that theatre equipment can be changed?

1. AHouse dust mite allergy
2. BCat hair allergy
3. CPollen allergy
4. DLatex allergy

Dua faktor manakah yang paling lazim menyebabkan ulser peptik?

1. AMerokok dan terlalu banyak kopi pekat
2. BMeminum susu dan memakan buah sitrus
3. CJangkitan Helicobacter pylori dan NSAID
4. DMakanan pedas dan tekanan psikologi atau kerja jangka panjang

Which advice has good evidence for reducing cancer-related fatigue?

1. ADrinking several strong coffees every evening
2. BRegular light to moderate activity, such as walking
3. CAvoiding all daily activities
4. DComplete bed rest for the whole course of treatment

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AOnly clear fluids for several weeks
2. BNormal protein and enough calories, with a late-evening snack
3. CA very low-protein diet for the rest of their life to lower ammonia
4. DNo food at all until the confusion settles

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ABleeding only from the rectum
2. BDisease that is cured by removing the colon
3. CInflammation limited to the rectal lining
4. DFistulas between the bowel and other organs

A patient's long-standing groin hernia has become tender, red and irreducible, and they are vomiting. What should the nurse do?

1. AAdvise the patient to wear a tight truss and rest
2. BPush the hernia firmly back in, then discharge home
3. CKeep them nil by mouth and arrange urgent surgical review
4. DApply a hot water bottle and give a laxative

A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?

1. ASIADH
2. BTumour lysis syndrome
3. CDiabetes insipidus
4. DHypercalcaemia of malignancy