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

Mengapakah pesakit diminta berpuasa sebelum anestesia am?

  1. AUntuk mengurangkan risiko aspirasi kandungan perut
  2. BUntuk mengurangkan pendarahan semasa pembedahan
  3. CUntuk memudahkan usus dilihat pada imbasan
  4. DUntuk mengekalkan aras glukosa darah lebih tinggi daripada biasa
2.Mudah

What is cancer cachexia?

  1. AWeight gain caused by steroid treatment
  2. BA fever that occurs after every chemotherapy cycle and lasts several days
  3. CA skin rash from radiotherapy
  4. DSevere loss of weight and muscle that diet alone does not reverse
3.Mudah

Which diet is usually advised to help prevent symptoms of diverticular disease?

  1. AA diet based mainly on red meat
  2. BA diet with no fruit or vegetables
  3. CA low-fibre diet with very little fluid
  4. DA high-fibre diet with plenty of fluids
4.Sederhana

Which advice helps a patient with haemorrhoids?

  1. ATake a codeine-based painkiller every day
  2. BEat more fibre, drink enough fluid and avoid straining
  3. CEat less fibre so that stools are smaller
  4. DSit on the toilet for long periods to empty fully
5.Sederhana

Which neutrophil count indicates severe neutropenia?

  1. ABelow 7.5 × 109/L
  2. BBelow 0.5 × 109/L
  3. CAbove 10 × 109/L
  4. DAbove 2.0 × 109/L
6.Sederhana

Which instruction is important during bowel preparation for colonoscopy?

  1. AAvoid all fluids for 24 hours before the test
  2. BTake the preparation only if the bowels have not opened
  3. CEat a high-fibre meal the evening before the test
  4. DDrink plenty of clear fluids while taking the preparation
7.Sukar

A patient with three fractured ribs is taking shallow breaths because of pain. Why is effective analgesia a priority?

  1. ARib pain always means the heart is damaged
  2. BShallow breathing can lead to atelectasis and pneumonia
  3. CPain relief is only needed for the patient's comfort
  4. DGood analgesia makes rib fractures heal fully within a few days
8.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?

  1. ATake the NSAID with a glass of milk instead of food
  2. BUse the highest NSAID dose to shorten the course
  3. CCombine two different NSAIDs at lower doses
  4. DConsider an alternative; if an NSAID is needed, add a PPI

Kunci jawapan

  1. 1. A · Untuk mengurangkan risiko aspirasi kandungan perut
  2. 2. D · Severe loss of weight and muscle that diet alone does not reverse
  3. 3. D · A high-fibre diet with plenty of fluids
  4. 4. B · Eat more fibre, drink enough fluid and avoid straining
  5. 5. B · Below 0.5 × 109/L
  6. 6. D · Drink plenty of clear fluids while taking the preparation
  7. 7. B · Shallow breathing can lead to atelectasis and pneumonia
  8. 8. D · Consider an alternative; if an NSAID is needed, add a PPI

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