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

Which signs suggest peritonitis?

1. AGuarding, rebound tenderness and a rigid abdomen
2. BA soft abdomen with no pain on pressing
3. CA small, painless lump near the umbilicus
4. DLoud bowel sounds with a hungry feeling

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

1. AUp to 24 hours before
2. BUp to 10 minutes before
3. CUp to 12 hours before
4. DUp to 2 hours before

Jenis penyembuhan manakah yang menerangkan hirisan pembedahan bersih yang ditutup dengan jahitan?

1. ANiat sekunder
2. BNiat tertunda
3. CNiat tertier
4. DNiat primer

In the UK National Early Warning Score (NEWS2), what does an aggregate score of 5 or more usually trigger?

1. ADischarge planning for the next day
2. BRoutine observations once every 12 hours, with no other change in care
3. CAn urgent review by a clinician skilled in acute illness
4. DNo change unless the patient complains

Pernyataan manakah tentang pemakanan dalam pankreatitis akut ringan yang sesuai dengan garis panduan semasa?

1. APesakit patut diberi makan melalui nutrisi parenteral sahaja
2. BPemakanan oral boleh bermula semula awal, sebaik sahaja kesakitan dan loya membenarkan
3. CPesakit mesti berpuasa sekurang-kurangnya tiga minggu untuk merehatkan pankreas
4. DMakanan ditahan sehingga amilase kembali normal

Why are patients with diabetes often placed early on the operating list?

1. ABecause they need to go home before midday
2. BBecause their surgery always takes longer than others
3. CTo shorten fasting and reduce swings in blood glucose
4. DBecause their wounds heal faster in the morning

A patient with diabetes has a foot ulcer. A sterile probe touches bone at the base of the ulcer. What should the nurse suspect?

1. AA healing category 1 ulcer
2. BVenous insufficiency
3. COsteomyelitis
4. DSimple dry skin

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