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

Which exercises are usually taught to patients before major surgery?

1. ALong-distance running every day
2. BHolding the breath for as long as possible
3. CDeep breathing, coughing and leg exercises
4. DHeavy weightlifting to build strength

What does standard H. pylori eradication therapy usually combine?

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

Di manakah kesakitan pankreatitis akut lazimnya dirasai?

1. ADi hujung bahu kiri, bertambah teruk semasa pernafasan dalam
2. BDi abdomen kanan bawah, berhampiran pinggul
3. CDi bahagian bawah belakang, berkurang apabila berbaring mendatar
4. DDi epigastrium, selalunya menjalar ke belakang

What is a Curling's ulcer?

1. AA leg ulcer caused by venous disease after long bed rest
2. BA pressure ulcer under a splint that has been left on too long
3. CA stress ulcer of the stomach or duodenum after a major burn
4. DA burn on the sole of the foot

Which advice helps a person with diabetes prevent foot ulcers?

1. ASoak the feet in very hot water every evening
2. BCut corns off at home with a sharp blade
3. CCheck the feet every day and never walk barefoot
4. DWear tight shoes to support the ankles

What is the most important safety point about misoprostol?

1. AIt causes severe constipation in most patients
2. BIt can cause miscarriage and must not be used in pregnancy
3. CIt must be given only by deep intramuscular injection
4. DIt strongly raises blood glucose in people with diabetes

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. AAsk the family to sign a new consent form
2. BContinue treatment because the family has asked for it
3. CTell the patient that stopping is not allowed
4. DSupport the patient's decision and help the team talk with the family

While a central line is disconnected, a patient suddenly becomes breathless with chest pain and hypotension. Air embolism is suspected. What should the nurse do first?

1. ARemove the central line straight away and leave the site open to the air
2. BSit the patient fully upright and flush the line
3. CClamp the line, lie the patient left side down, head low; give oxygen
4. DGive the patient a drink and observe for an hour