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

Where is biliary colic typically felt?

1. AIn the right upper abdomen, often after a fatty meal
2. BIn the lower back, after lifting something heavy
3. CIn the left lower abdomen, after passing stool
4. DIn the groin, after standing for a long time

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

1. AKajian barium telan
2. BEndoskopi GI atas
3. CKolonoskopi usus
4. DX-ray abdomen biasa

What does black tissue in a wound bed usually indicate?

1. ANormal blood clot from a fresh cut
2. BNecrotic (dead) tissue
3. CHealthy granulation tissue
4. DNew epithelial cells

Why are laxatives and enemas avoided when appendicitis is suspected?

1. AThey make the blood tests impossible to read
2. BThey stop antibiotics from being absorbed
3. CThey may increase the risk of perforation
4. DThey always cause the appendix to bleed heavily

Which statement correctly describes physical dependence on opioids?

1. AThe drug no longer has any side effects
2. BThe patient always craves the drug and misuses it despite harm
3. CThe patient is allergic to opioids
4. DWithdrawal occurs if the drug is stopped suddenly

Mengapakah pesakit sirosis berisiko lebih tinggi untuk pendarahan?

1. ATekanan darah arteri yang tinggi dalam sirosis menyebabkan saluran pecah
2. BFaktor pembekuan yang lebih sedikit, platelet rendah dan varises akibat hipertensi portal
3. CHati yang berparut membebaskan bahan antikoagulan seperti heparin ke dalam darah
4. DSirosis meningkatkan kiraan platelet, yang menjadikan platelet lebih lemah

A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?

1. A"I'll report heavy bleeding from my bottom."
2. B"Severe abdominal pain is normal for a week afterwards."
3. C"I should report a fever or a swollen, painful abdomen."
4. D"Some wind and bloating today is expected."

At the end of an operation, the final count shows one swab missing. What should happen?

1. ALet the patient leave and search the theatre later
2. BClose the wound, as the swab was probably thrown away
3. CRecord the count as correct to avoid a delay
4. DTell the surgeon, search, and X-ray if it is not found