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

Why are pressure areas padded when a patient is positioned for surgery?

1. ATo keep the patient from moving during the operation
2. BTo make the operating table look tidy
3. CTo prevent pressure injury and nerve damage
4. DTo warm the patient during the procedure

What is a Hartmann's procedure?

1. ARemoval of part of the colon with an end colostomy and rectal stump
2. BJoining the stomach directly to the small bowel
3. CPlacing a stent in the bile duct
4. DRemoval of the gallbladder through several small abdominal incisions

In TNM staging of cancer, what does "N" describe?

1. ASpread to nearby lymph nodes
2. BThe new cells formed after treatment
3. CThe number of tumours in the body
4. DThe nerve damage caused by the tumour

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. ATake a bulk-forming laxative only with very little water
2. BStop eating fibre completely
3. CWait until there has been no stool for a week
4. DStart a regular laxative at the same time

Which early symptoms suggest local anaesthetic systemic toxicity?

1. ATingling around the mouth, a metallic taste and tinnitus
2. BA red rash only at the injection site, with no other symptoms
3. CMild itching of the feet the next day
4. DIncreased hunger and thirst over several hours, with a dry mouth

Which statement correctly describes physical dependence on opioids?

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

Peraturan keselamatan manakah yang terpakai kepada vinkristin?

1. AIa paling baik diberikan sebagai tolakan IV pantas ke dalam vena kecil
2. BIa boleh diberikan melalui mana-mana laluan yang diutamakan oleh pempreskripsi
3. CTidak sekali-kali intratekal; dibekalkan dalam beg mini untuk kegunaan IV sahaja
4. DIa biasanya diberikan secara intratekal bersama ubat tulang belakang lain

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

1. APost-ERCP pancreatitis
2. BHepatitis B infection
3. CBiliary colic from a new stone
4. DAcute appendicitis