Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan
Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
What is the key difference between a benign and a malignant tumour?
AA benign tumour always grows faster than a malignant one
BA benign tumour always spreads to the lymph nodes
CA malignant tumour invades nearby tissue and can spread
DA malignant tumour never needs any treatment
2.Mudah
Siapakah yang bertanggungjawab mendapatkan persetujuan termaklum untuk pembedahan?
AKerani wad yang mengatur kemasukan pesakit
BWaris terdekat pesakit, atau saudara terdekat yang hadir
CKlinisi yang melakukan prosedur, atau wakil terlatih
DMana-mana kakitangan yang lapang pada masa itu
3.Mudah
Which symptom in an adult over 50 is a red flag for colorectal cancer?
AMild bloating before a period
BA lasting change in bowel habit with rectal bleeding
COccasional wind and rumbling after eating a meal of beans
DOne episode of loose stools after a takeaway meal
4.Sederhana
Which neutrophil count indicates severe neutropenia?
AAbove 2.0 × 109/L
BBelow 0.5 × 109/L
CBelow 7.5 × 109/L
DAbove 10 × 109/L
5.Sederhana
Which liver function test pattern suggests bile duct obstruction?
AVery high ALT with a normal bilirubin only
BNormal bilirubin with a low ALP and low GGT
CA low albumin with all other results normal
DHigh bilirubin with a markedly raised ALP and GGT
6.Sederhana
Golongan ubat manakah yang lazim digunakan untuk mengurangkan asid selepas rawatan endoskopik ulser peptik yang berdarah?
AAntihistamin H1 seperti cetirizin
BDiuretik gelung
CPerencat pam proton
DPenyekat beta
7.Sukar
A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?
ATake the NSAID with a glass of milk instead of food
BConsider an alternative; if an NSAID is needed, add a PPI
CCombine two different NSAIDs at lower doses
DUse the highest NSAID dose to shorten the course
8.Sukar
A patient's ileostomy output is 2.5 L a day. They feel tired and dizzy and are drinking large amounts of water. Which advice is usually appropriate?
ALimit plain drinks and use an oral rehydration solution
BEat only fruit and fruit juice
CStop all drinking for 24 hours
DDrink even more plain water and tea to replace the losses
Kunci jawapan
1. C · A malignant tumour invades nearby tissue and can spread
2. C · Klinisi yang melakukan prosedur, atau wakil terlatih
3. B · A lasting change in bowel habit with rectal bleeding
4. B · Below 0.5 × 109/L
5. D · High bilirubin with a markedly raised ALP and GGT
6. C · Perencat pam proton
7. B · Consider an alternative; if an NSAID is needed, add a PPI
8. A · Limit plain drinks and use an oral rehydration solution
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