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

Which diet is usually advised to help prevent symptoms of diverticular disease?

1. AA low-fibre diet with very little fluid
2. BA diet with no fruit or vegetables
3. CA high-fibre diet with plenty of fluids
4. DA diet based mainly on red meat

Why are swabs, sharps and instruments counted during surgery?

1. ATo calculate the cost of the operation
2. BTo prevent items being left inside the patient
3. CTo decide how long the operation took
4. DTo check the stock in the store room

Ciri manakah yang tipikal bagi lecuran ketebalan penuh?

1. AKulit lembap dan merah jambu dengan lepuh besar yang sakit
2. BKulit merah yang sakit tanpa lepuh, seperti terbakar matahari
3. CKulit seperti kulit samak, putih atau perang yang tidak sakit
4. DKulit yang memucat apabila ditekan dan sembuh dalam beberapa hari

Which advice is appropriate for a patient with a very low platelet count?

1. ATake aspirin regularly for headaches
2. BFloss hard every day to prevent gum disease
3. CUse a razor blade for shaving every day
4. DUse a soft toothbrush and an electric razor

Pernyataan manakah yang paling baik menerangkan toleransi terhadap opioid?

1. ADos yang lebih tinggi diperlukan dari semasa ke semasa untuk kesan yang sama
2. BPesakit mempunyai keinginan kompulsif untuk lebih banyak ubat
3. CPesakit telah mengalami alahan terhadap ubat
4. DUbat tidak lagi menyebabkan sebarang sembelit

Which patient is at highest risk of refeeding syndrome?

1. AA healthy adult after an overnight fast for minor surgery
2. BA patient who missed one lunch because of a scan
3. CA patient with a normal BMI eating three meals a day
4. DAn underweight patient who has eaten very little for 10 days

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AStop the breakthrough doses to reduce opioid use
2. BGive all breakthrough doses at the same time
3. CTell the patient to put up with the pain between doses
4. DReport it, as the regular background dose may need review

On day 5 after hip surgery, a patient suddenly becomes breathless, with sharp chest pain on breathing in, a pulse of 120/min and SpO₂ 89%. What should the nurse suspect and do first?

1. APulmonary embolism; sit up, give oxygen and call for urgent help
2. BSimple atelectasis; encourage walking around the ward
3. CAnxiety; give reassurance and repeat the observations in an hour's time
4. DWound infection; take a wound swab and wait for results