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

How does the pain of acute appendicitis typically progress?

1. AIt starts in the left lower abdomen, then spreads to the back
2. BIt stays in the upper abdomen and eases after meals
3. CIt starts in the right shoulder, then moves to the chest
4. DIt starts around the umbilicus, then moves to the right lower abdomen

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA chest X-ray
2. BA blood glucose test
3. CA bladder ultrasound scan
4. DA 12-lead ECG

Which non-invasive test is commonly used to detect Helicobacter pylori infection?

1. ALiver function tests
2. BFaecal occult blood test
3. CUrea breath test
4. DSerum amylase test

Seorang pesakit dengan ileostomi baharu mempunyai output yang sangat tinggi. Apakah risiko utama?

1. ALebihan cecair dan bengkak buku lali
2. BSembelit dan impaksi najis dalam usus di atas stoma
3. CDehidrasi dan kehilangan natrium, kalium dan magnesium
4. DKalsium tinggi dan batu karang buah pinggang dalam beberapa hari

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

1. APain straight after eating that is worsened by food
2. BPain only on deep breathing that eases when sitting forwards
3. CPain in the right lower abdomen with fever and vomiting
4. DPain 2–3 hours after meals and at night, eased by eating

Which presentation fits acute diverticulitis?

1. ARight upper abdominal pain after fatty meals
2. BPainless jaundice with a palpable gallbladder
3. CLeft lower abdominal pain, fever and a raised CRP
4. DCentral chest pain spreading to the left arm

Which group of signs suggests that a patient is entering the last days of life?

1. AReduced intake, mottled skin and changes in breathing
2. BRising appetite, more energy and normal skin colour and warmth
3. CHigh blood pressure and very fast weight gain
4. DClearer thinking and increased movement

Strategi cecair manakah yang pada amnya disyorkan dalam jam-jam pertama pankreatitis akut?

1. ATiada cecair IV langsung, hanya teguk kecil air oral
2. BKristaloid seimbang terarah matlamat, dipandu oleh tindak balas
3. CAlbumin IV sahaja sebagai ganti sebarang kristaloid
4. DIsi padu yang sangat besar, apa pun tindak balas pesakit