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

What does dysphagia mean?

1. APainful passing of urine
2. BIndigestion after fatty food
3. CDifficulty swallowing
4. DDifficulty speaking clearly

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A36%
2. B27%
3. C18%
4. D9%

Which drug is commonly used to prevent or treat postoperative nausea and vomiting?

1. AFurosemide
2. BAtorvastatin
3. CAmlodipine
4. DOndansetron

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AFluid restriction and a thiazide diuretic
2. BA high-calcium diet with extra milk
3. COral calcium tablets and vitamin D
4. DIV fluids followed by an IV bisphosphonate

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe patient needs IV antibiotics straight away, whatever the wound looks like
2. BThe wound is colonised; antibiotics are not usually needed
3. CThe swab result means the wound is infected
4. DThe wound must be closed with sutures again

Why are accurate fluid balance charts kept after major surgery?

1. ATo record when visitors come and go
2. BTo decide which meal the patient will have next
3. CTo check how far the patient has walked and how often they get out of bed
4. DTo detect dehydration, fluid overload or kidney problems early

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

1. ADiarrhoea from stopping the feed suddenly
2. BRefeeding syndrome from too much glucose
3. CHyperglycaemia because the stomach is empty
4. DHypoglycaemia if insulin continues without the feed

Seorang pesakit yang menggunakan PCA opioid menerima oksigen melalui pelitup muka. SpO₂ ialah 97% dan kadar pernafasan 11/min, tetapi kini sukar dikejutkan. Apakah kesimpulan jururawat?

1. ADos PCA patut dinaikkan untuk memastikan pesakit selesa
2. BPesakit selamat, kerana ketepuan oksigen normal
3. CPesakit hanya tidur dengan nyenyak, kerana kesakitan terkawal
4. DKetoksikan opioid mungkin; oksigen mungkin menyembunyikan hipoventilasi