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

Apakah punca paling lazim sekatan usus kecil pada orang dewasa di negara berpendapatan tinggi?

1. ALekatan akibat pembedahan terdahulu
2. BObjek asing yang tertelan
3. CBatu hempedu yang tersangkut pada leher pundi hempedu
4. DKanser kolorektal

What does standard H. pylori eradication therapy usually combine?

1. ATwo NSAIDs and a stimulant laxative for one month
2. BA proton pump inhibitor and two antibiotics
3. CAn antacid and a single antifungal drug
4. DA steroid and an antiviral drug

What is the MUST tool used for?

1. AScreening adults for malnutrition risk
2. BAssessing the risk of falls
3. CMeasuring pain in confused patients
4. DScoring the severity of a burn injury

When breaking bad news, what is the first step in frameworks such as SPIKES?

1. AAsk the family to decide what the patient should be told
2. BGive all treatment options before checking understanding
3. CGive the diagnosis as quickly as possible in the corridor
4. DSet up a private setting with enough time

Which patient is at highest risk of refeeding syndrome?

1. AA patient with a normal BMI eating three meals a day
2. BA patient who missed one lunch because of a scan
3. CA healthy adult after an overnight fast for minor surgery
4. DAn underweight patient who has eaten very little for 10 days

When is cold therapy most useful for pain?

1. AFor long-term muscle stiffness, applied continuously for several hours
2. BOver numb areas where sensation is lost
3. CDirectly on skin with poor circulation
4. DSoon after an acute soft tissue injury, to reduce swelling

During a nasogastric feed, a patient starts coughing and SpO₂ falls from 96% to 89%. What should the nurse do first?

1. AGive a drink of water to clear the throat
2. BLay the patient flat to help them rest
3. CStop the feed and assess the airway and breathing
4. DIncrease the feed rate to finish it sooner

A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?

1. A"I should report a fever or a swollen, painful abdomen."
2. B"Some wind and bloating today is expected."
3. C"Severe abdominal pain is normal for a week afterwards."
4. D"I'll report heavy bleeding from my bottom."