Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan
Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
Which measure helps prevent burn scar contractures?
AKeeping the joint bent in the most comfortable position
BApplying ice packs to the scar every day
CAvoiding all movement until the wound has healed
DPositioning, splinting and regular stretching exercises
2.Mudah
Apakah maksud PCA dalam pengurusan kesakitan?
APenilaian selepas penjagaan (post-care assessment)
CAnestesia berterusan yang dipreskripsikan (prescribed continuous anaesthesia)
DKawalan kesakitan oleh pembantu (pain control by an assistant)
3.Mudah
What is an ERCP?
AA blood test that measures pancreatic enzymes
BAn open operation to remove the gallbladder
CAn endoscopic test to view and treat the bile and pancreatic ducts
DA CT scan of the abdomen without contrast
4.Sederhana
What is TENS?
AA pain score used for babies
BA device that sends mild electrical pulses through skin pads
CA type of epidural catheter inserted in theatre
DA strong opioid given through the skin as a weekly adhesive patch
5.Sederhana
Why are patients with large burns at risk of hypothermia?
AThe fluids given are always chilled
BBurns always cause a low thyroid hormone level in the blood
CLoss of skin reduces their ability to keep in heat
DTheir metabolism stops after the injury
6.Sederhana
When breaking bad news, what is the first step in frameworks such as SPIKES?
AGive all treatment options before checking understanding
BSet up a private setting with enough time
CGive the diagnosis as quickly as possible in the corridor
DAsk the family to decide what the patient should be told
7.Sukar
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?
ADos PCA patut dinaikkan untuk memastikan pesakit selesa
BKetoksikan opioid mungkin; oksigen mungkin menyembunyikan hipoventilasi
CPesakit selamat, kerana ketepuan oksigen normal
DPesakit hanya tidur dengan nyenyak, kerana kesakitan terkawal
8.Sukar
Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?
AIt interacts with all general anaesthetic gases and stops them working
BIt raises the risk of ketoacidosis, even with near-normal glucose
CIt causes the surgical wound to bleed more
DIt makes the patient's potassium dangerously high
Kunci jawapan
1. D · Positioning, splinting and regular stretching exercises
2. B · Analgesia terkawal pesakit (patient-controlled analgesia)
3. C · An endoscopic test to view and treat the bile and pancreatic ducts
4. B · A device that sends mild electrical pulses through skin pads
5. C · Loss of skin reduces their ability to keep in heat
6. B · Set up a private setting with enough time
7. B · Ketoksikan opioid mungkin; oksigen mungkin menyembunyikan hipoventilasi
8. B · It raises the risk of ketoacidosis, even with near-normal glucose
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