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

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 0.05 mL/kg per hour
2. BAbout 50 mL/kg per hour
3. CAbout 5 mL/kg per hour
4. DAbout 0.5 mL/kg per hour

What is dumping syndrome after gastric surgery?

1. ARapid passage of food from the stomach into the small bowel
2. BLeakage of bile from the liver into the abdominal cavity
3. CReflux of bowel contents back into the oesophagus
4. DSlow emptying of the stomach causing food to stay for days

Langkah berjaga-jaga manakah yang paling penting untuk mengurangkan jangkitan pada pesakit neutropenia?

1. AMemastikan pesakit berada di katil
2. BMemastikan tirai tertutup sepanjang hari
3. CKebersihan tangan yang ketat oleh semua orang
4. DAntibiotik untuk setiap pelawat

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AIt needs an X-ray machine at the bedside
2. BThe test is far too painful for most patients to tolerate
3. CAir can be heard even when the tube is in the lung
4. DThe air always makes the tube block

Seorang pesakit dengan ileostomi baharu mempunyai output yang sangat tinggi. Apakah risiko utama?

1. AKalsium tinggi dan batu karang buah pinggang dalam beberapa hari
2. BSembelit dan impaksi najis dalam usus di atas stoma
3. CLebihan cecair dan bengkak buku lali
4. DDehidrasi dan kehilangan natrium, kalium dan magnesium

Which treatment often relieves pain from a bone metastasis?

1. AComplete bed rest for a month
2. BIron supplements by mouth for several months
3. CA diet low in calcium and vitamin D
4. DPalliative radiotherapy to the area

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient needs only distraction and no change in drugs
2. BPain may be undertreated; reassess and ask for a review of the plan
3. CThe patient is addicted and should have analgesia withheld
4. DThe patient is exaggerating, so the pain scores should be ignored for now

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. ATell her the surgery must be cancelled for a month
2. BProceed with the usual checklist and say nothing
3. CGive a double dose of vitamin K by mouth without waiting for a prescription
4. DInform the surgical and anaesthetic teams, who will check the INR