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

Siapakah yang patut menekan butang pam analgesia terkawal pesakit (PCA)?

1. ASaudara-mara, semasa pesakit tidur
2. BMana-mana pelawat yang diminta oleh pesakit
3. CJururawat, pada awal setiap syif
4. DPesakit sahaja

What is the main purpose of a biopsy when cancer is suspected?

1. ATo measure the patient's blood count
2. BTo remove all the cancer at once
3. CTo confirm the diagnosis by examining tissue
4. DTo give chemotherapy directly into the tumour

What does standard H. pylori eradication therapy usually combine?

1. AA steroid and an antiviral drug
2. BAn antacid and a single antifungal drug
3. CTwo NSAIDs and a stimulant laxative for one month
4. DA proton pump inhibitor and two antibiotics

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AIt can only be given by mouth
2. BIt always causes severe diarrhoea
3. CIt has no pain-relieving effect at all in adults
4. DA metabolite can build up and cause seizures

Fasa penyembuhan luka manakah yang melibatkan pembentukan tisu granulasi dan saluran darah baharu?

1. AFasa pematangan
2. BFasa hemostasis (pembekuan)
3. CFasa proliferatif
4. DFasa keradangan

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt increases gut movement against the blockage
2. BIt always causes severe diarrhoea
3. CIt blocks the effect of all opioids
4. DIt makes the bowel stop moving completely

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. APotassium 4.2 mmol/L
2. BSodium 141 mmol/L
3. CSodium 138 mmol/L
4. DPotassium 6.0 mmol/L

Seorang pesakit ileostomi tiada output selama 6 jam, dengan sakit kekejangan, kembung, loya dan stoma bengkak. Apakah yang patut disyaki oleh jururawat?

1. ARuam kulit kecil di sekeliling stoma
2. BSekatan stoma, selalunya akibat makanan, yang memerlukan semakan
3. CDehidrasi akibat output ileostomi yang sangat tinggi
4. DTempoh senyap yang normal bagi ileostomi baharu