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
Nutrien manakah yang amat penting untuk penyembuhan luka?
AProtein
BGaram
CKafein
DAlkohol
2.Mudah
What is the usual adult reference range for platelets?
AAbout 150–400 × 109/L
BAbout 15–40 × 109/L
CAbout 1500–4000 × 109/L
DAbout 4–11 × 109/L
3.Mudah
Why are patients advised to stop smoking before surgery?
AIt is needed so that consent forms are valid
BIt lowers the risk of chest and wound complications
CIt stops patients from feeling hungry while fasting
DIt makes the anaesthetic work for a shorter time
4.Sederhana
A dying patient can no longer drink. Which mouth care is most appropriate?
ANo mouth care, to avoid disturbing the patient
BBrushing hard with a stiff toothbrush twice a day
CFrequent, gentle moistening of the mouth and lips
DLemon and glycerine swabs every hour to stimulate saliva
5.Sederhana
A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?
ATake the usual dose on the morning of surgery
BStop it about 5 days before and check the INR
CSwap to aspirin on the morning of surgery
DDouble the dose for a week so the blood is ready for surgery
6.Sederhana
A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?
AThat bowel sounds are present in all four quadrants
BThat the patient's blood glucose is above normal
CThat the patient has passed urine since the procedure
DThat swallowing and the gag reflex have returned
7.Sukar
A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?
A"I'll eat soft, moist food at first and chew it well."
B"Some difficulty swallowing can happen in the early weeks."
C"Fizzy drinks will help me bring up wind after meals."
D"I should eat smaller meals for a while after the operation."
8.Sukar
Seorang berumur 74 tahun dengan penyakit buah pinggang kronik mengalami kesakitan teruk selepas pembedahan. Isu opioid manakah yang paling penting?
AMetabolit morfin terkumpul, jadi dos yang lebih rendah atau opioid lain mungkin diperlukan
BMorfin ialah opioid paling selamat dalam kegagalan buah pinggang, jadi dos boleh dinaikkan dengan bebas
COpioid tidak boleh sekali-kali digunakan pada warga emas, apa pun kesakitannya
DFungsi buah pinggang tidak memberi kesan terhadap cara opioid dikendalikan
Kunci jawapan
1. A · Protein
2. A · About 150–400 × 109/L
3. B · It lowers the risk of chest and wound complications
4. C · Frequent, gentle moistening of the mouth and lips
5. B · Stop it about 5 days before and check the INR
6. D · That swallowing and the gag reflex have returned
7. C · "Fizzy drinks will help me bring up wind after meals."
8. A · Metabolit morfin terkumpul, jadi dos yang lebih rendah atau opioid lain mungkin diperlukan
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