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

What is an anastomosis in bowel surgery?

1. AA surgical join between two ends of bowel
2. BA drain placed beside the bowel
3. CAn opening of the bowel onto the skin
4. DA tube placed in the bowel for feeding

What is cancer cachexia?

1. ASevere loss of weight and muscle that diet alone does not reverse
2. BWeight gain caused by steroid treatment
3. CA fever that occurs after every chemotherapy cycle and lasts several days
4. DA skin rash from radiotherapy

What is the Braden scale (or a similar tool such as Waterlow) used for?

1. AAssessing the risk of developing pressure ulcers
2. BScoring the severity of nausea
3. CGrading the depth of a burn wound before dressing it
4. DMeasuring a patient's level of consciousness

Which finding means a patient is usually ready to leave recovery for the ward?

1. AAwake, with a clear airway, stable observations and controlled pain
2. BStill drowsy and needing a jaw thrust to breathe
3. CSystolic BP falling steadily over the last hour, with a rising pulse rate
4. DPain score 9/10 and vomiting repeatedly

What is the most important safety point about misoprostol?

1. AIt causes severe constipation in most patients
2. BIt strongly raises blood glucose in people with diabetes
3. CIt can cause miscarriage and must not be used in pregnancy
4. DIt must be given only by deep intramuscular injection

How are skin staples usually removed from a healed incision?

1. AAlternate staples first, then the rest if the wound holds
2. BOnly the staples at each end, leaving the others for good
3. CAll staples at once by pulling each one straight up from the skin
4. DThe staples are left in permanently under the skin

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. AOesophageal perforation
2. BNormal discomfort after the procedure
3. CAn allergic reaction to the sedative
4. DSimple reflux after the dilatation

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. CApply a hot water bottle and give a laxative
4. DKeep them nil by mouth and arrange urgent surgical review