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?

  1. AProtein
  2. BGaram
  3. CKafein
  4. DAlkohol
2.Mudah

What is the usual adult reference range for platelets?

  1. AAbout 150–400 × 109/L
  2. BAbout 15–40 × 109/L
  3. CAbout 1500–4000 × 109/L
  4. DAbout 4–11 × 109/L
3.Mudah

Why are patients advised to stop smoking before surgery?

  1. AIt is needed so that consent forms are valid
  2. BIt lowers the risk of chest and wound complications
  3. CIt stops patients from feeling hungry while fasting
  4. DIt makes the anaesthetic work for a shorter time
4.Sederhana

A dying patient can no longer drink. Which mouth care is most appropriate?

  1. ANo mouth care, to avoid disturbing the patient
  2. BBrushing hard with a stiff toothbrush twice a day
  3. CFrequent, gentle moistening of the mouth and lips
  4. 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?

  1. ATake the usual dose on the morning of surgery
  2. BStop it about 5 days before and check the INR
  3. CSwap to aspirin on the morning of surgery
  4. 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?

  1. AThat bowel sounds are present in all four quadrants
  2. BThat the patient's blood glucose is above normal
  3. CThat the patient has passed urine since the procedure
  4. 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?

  1. A"I'll eat soft, moist food at first and chew it well."
  2. B"Some difficulty swallowing can happen in the early weeks."
  3. C"Fizzy drinks will help me bring up wind after meals."
  4. 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?

  1. AMetabolit morfin terkumpul, jadi dos yang lebih rendah atau opioid lain mungkin diperlukan
  2. BMorfin ialah opioid paling selamat dalam kegagalan buah pinggang, jadi dos boleh dinaikkan dengan bebas
  3. COpioid tidak boleh sekali-kali digunakan pada warga emas, apa pun kesakitannya
  4. DFungsi buah pinggang tidak memberi kesan terhadap cara opioid dikendalikan

Kunci jawapan

  1. 1. A · Protein
  2. 2. A · About 150–400 × 109/L
  3. 3. B · It lowers the risk of chest and wound complications
  4. 4. C · Frequent, gentle moistening of the mouth and lips
  5. 5. B · Stop it about 5 days before and check the INR
  6. 6. D · That swallowing and the gag reflex have returned
  7. 7. C · "Fizzy drinks will help me bring up wind after meals."
  8. 8. A · Metabolit morfin terkumpul, jadi dos yang lebih rendah atau opioid lain mungkin diperlukan

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