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

Siasatan manakah yang biasanya digunakan untuk mencari dan merawat punca pendarahan GI atas?

1. AKolonoskopi usus
2. BEndoskopi GI atas
3. CX-ray abdomen biasa
4. DKajian barium telan

What is an anastomosis in bowel surgery?

1. AAn opening of the bowel onto the skin
2. BA tube placed in the bowel for feeding
3. CA surgical join between two ends of bowel
4. DA drain placed beside the bowel

Nutrien manakah yang amat penting untuk penyembuhan luka?

1. AProtein
2. BAlkohol
3. CGaram
4. DKafein

Which statement about pain in older adults is correct?

1. APain is a normal part of ageing and does not need any treatment at all
2. BThey may under-report pain, so active assessment is needed
3. COpioids must never be used in people over 70
4. DOlder adults feel less pain because nerves wear out

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe medicine chart, including laxatives and antibiotics
2. BThe patient's eye drops and skin creams
3. CThe patient's mobility aids and walking distance
4. DThe colour of the feeding bag label

Why are many patients screened for MRSA before planned surgery?

1. ATo decide which anaesthetic drug to use
2. BSo that surgery can be cancelled for all positive patients
3. CTo check whether the patient has had a flu vaccine
4. DSo that carriers can be decolonised to reduce infection

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

1. ARub the stoma to improve its colour
2. BCut a smaller hole in the pouch
3. CRecord it as normal postoperative bruising and recheck it next week
4. DReport it urgently, as the stoma may be necrotic

A nurse teaches a carer about overnight tube feeding at home. Which statement shows a need for further teaching?

1. A"I'll let him lie flat so he sleeps better while the feed runs."
2. B"I'll flush the tube with water before and after his medicines."
3. C"I'll stop the feed and call if he coughs or struggles to breathe."
4. D"I'll check the external length mark on the tube every day."