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

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

1. AKanser kolorektal
2. BObjek asing yang tertelan
3. CLekatan akibat pembedahan terdahulu
4. DBatu hempedu yang tersangkut pada leher pundi hempedu

Which signs suggest a deep vein thrombosis in the leg?

1. ASwelling, pain, warmth and redness of one calf
2. BItching between the toes of both feet
3. CA painless rash on both shins
4. DCold, pale feet on both sides with no pulse

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA bladder ultrasound scan
2. BA blood glucose test
3. CA chest X-ray
4. DA 12-lead ECG

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. AAn infusion reaction, such as fever, rigors or breathlessness
2. BSevere constipation within the first hour of starting the infusion
3. CSudden hair loss during the infusion
4. DA rise in platelet count above normal

Tanda manakah yang menunjukkan pankreatitis akut yang teruk dengan pendarahan ke dalam tisu?

1. ABengkak pada bibir, lidah dan muka
2. BRuam ungu pada tapak tangan dan kaki
3. CLebam di sekeliling pusat atau rusuk
4. DPerubahan warna kuning pada kuku jari

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

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AProtamine sulfate on its own
2. BOral aspirin to balance the clotting system quickly
3. CMore warfarin to stabilise the INR
4. DProthrombin complex concentrate with IV vitamin K

Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?

1. AStop the feed at once and seek urgent medical advice
2. BIncrease the feed rate to improve nutrition
3. CGive the next medicines through the tube as usual
4. DContinue feeding and apply a thicker dressing