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

Apakah itu neutropenia?

1. AKiraan sel darah merah yang rendah
2. BKiraan neutrofil yang rendah
3. CKiraan platelet yang rendah
4. DKiraan sel darah putih yang tinggi

Mengapakah tiub nasogastrik sering dimasukkan dalam sekatan usus?

1. AUntuk memberikan suapan berserat tinggi melepasi sekatan secara langsung
2. BUntuk memberikan julap bagi membersihkan sekatan
3. CUntuk mengukur tekanan di dalam usus
4. DUntuk menyahmampat perut dan mengurangkan muntah

Using the rule of nines in an adult, what percentage is the whole head and neck?

1. A4.5%
2. B9%
3. C18%
4. D1%

When is cold therapy most useful for pain?

1. AFor long-term muscle stiffness, applied continuously for several hours
2. BSoon after an acute soft tissue injury, to reduce swelling
3. CDirectly on skin with poor circulation
4. DOver numb areas where sensation is lost

Which statement about giving medicines through a feeding tube is correct?

1. ATubes do not need flushing between medicines
2. BMedicines can be added to the bag of feed
3. CAll tablets can be crushed together and given at once
4. DModified-release tablets should not be crushed

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AThe catheter prevents wound infection
2. BBurns always cause the bladder to rupture
3. CHourly urine output guides fluid resuscitation
4. DIt is needed to give medicines into the bladder

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

1. A1000 mL/h
2. B500 mL/h
3. C250 mL/h
4. D375 mL/h

A colleague suggests giving a saline injection to see whether a patient's pain is "real". What is the best response?

1. AIt should be done only for patients with chronic pain
2. BIt is acceptable if a senior nurse gives the saline
3. CDeceptive placebos are unethical and do not show pain is "fake"
4. DIt is a good idea, as long as the patient is not told about it afterwards