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

What is a common reason for giving a premedication before surgery?

1. ATo reduce anxiety
2. BTo replace the general anaesthetic
3. CTo treat the surgical wound in advance
4. DTo make the patient hungry after surgery

Dua faktor manakah yang paling lazim menyebabkan ulser peptik?

1. AMerokok dan terlalu banyak kopi pekat
2. BMeminum susu dan memakan buah sitrus
3. CMakanan pedas dan tekanan psikologi atau kerja jangka panjang
4. DJangkitan Helicobacter pylori dan NSAID

Which signs suggest a surgical site infection?

1. AIncreasing pain, redness, swelling, heat and pus
2. BMild bruising around the wound that is fading a little each day
3. CA dry wound edge with a thin scab
4. DMild itching as the wound heals

PPE manakah yang biasanya disyorkan semasa memberikan kemoterapi sitotoksik?

1. ASarung tangan kapas biasa dan apron plastik
2. BPelitup muka pembedahan kertas tetapi tanpa sarung tangan
3. CSarung tangan yang diuji untuk kemoterapi dan gaun kalis tembus
4. DTiada PPE, kerana beg infusi tertutup

Apakah keutamaan pertama apabila pesakit tiba di bilik pemulihan selepas anestesia am?

1. APembalut luka dan saliran
2. BSejarah ubat
3. CSeteguk air
4. DSaluran udara dan pernafasan

What is the most important safety point about misoprostol?

1. AIt causes severe constipation in most patients
2. BIt must be given only by deep intramuscular injection
3. CIt strongly raises blood glucose in people with diabetes
4. DIt can cause miscarriage and must not be used in pregnancy

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has a temperature of 38.9 °C, a rigid abdomen and a pulse of 118/min. What does this suggest?

1. ASimple constipation that needs a laxative
2. BThe appendicitis has settled by itself
3. CPerforation with peritonitis
4. DA side effect of the analgesia given

A sacral wound has heavy exudate, and the surrounding skin is white, soft and wrinkled. What should the nurse do?

1. AProtect the skin edges and use a more absorbent dressing
2. BUse a dressing that adds even more moisture
3. CLeave the same dressing in place for a week so the wound is not disturbed
4. DApply a tight plastic film directly over the wound