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

Di manakah kesakitan pankreatitis akut lazimnya dirasai?

1. ADi abdomen kanan bawah, berhampiran pinggul
2. BDi epigastrium, selalunya menjalar ke belakang
3. CDi bahagian bawah belakang, berkurang apabila berbaring mendatar
4. DDi hujung bahu kiri, bertambah teruk semasa pernafasan dalam

Which symptom is typical of haemorrhoids?

1. ABright red blood on the paper after opening the bowels
2. BVomiting of dark, coffee-ground material
3. CBlack, tarry stools with a strong smell
4. DYellow skin, dark urine and pale stools that float in the toilet

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

1. ASign Out
2. BTime Out
3. CSign In
4. DHandover

Why is thiamine given to patients with alcohol dependence admitted to hospital?

1. ATo reduce the craving for alcohol
2. BTo prevent bleeding from varices
3. CTo treat the cirrhosis directly
4. DTo prevent Wernicke's encephalopathy

Which wound drain observation should be reported immediately?

1. AA little dried blood around the drain site
2. BDrainage slowly falling each day
3. CSmall amounts of pink serous fluid
4. DA sudden large volume of fresh red blood

Which statement about pain relief in acute pancreatitis is correct?

1. APain relief should be withheld until the diagnosis is certain
2. BOnly paracetamol may be given
3. COpioids can be used, and good analgesia is a priority
4. DOpioids must never be used in pancreatitis

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AGive the next dose with extra food
2. BIncrease the dose to treat the pain better and encourage fluids
3. CChange to a higher-strength NSAID tablet
4. DWithhold the next dose and report to the prescriber

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV naloxone
2. BIV dantrolene
3. CIV lipid emulsion
4. DIV glucose 50%