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

Apakah punca paling lazim sekatan usus kecil pada orang dewasa di negara berpendapatan tinggi?

1. AKanser kolorektal
2. BLekatan akibat pembedahan terdahulu
3. CObjek asing yang tertelan
4. DBatu hempedu yang tersangkut pada leher pundi hempedu

In widely used guidelines, which core temperature defines perioperative hypothermia?

1. ABelow 32.0 °C
2. BBelow 36.0 °C
3. CBelow 38.0 °C
4. DBelow 37.5 °C

What is the MUST tool used for?

1. AScreening adults for malnutrition risk
2. BScoring the severity of a burn injury
3. CAssessing the risk of falls
4. DMeasuring pain in confused patients

Which patient is at highest risk of refeeding syndrome?

1. AA patient who missed one lunch because of a scan
2. BA patient with a normal BMI eating three meals a day
3. CA healthy adult after an overnight fast for minor surgery
4. DAn underweight patient who has eaten very little for 10 days

Apakah perbezaan klinikal utama antara sekatan usus kecil dan usus besar?

1. AUsus kecil: muntah awal, kurang kembung; usus besar: muntah lewat, kembung ketara
2. BTiada perbezaan klinikal; hanya imbasan CT yang dapat membezakannya
3. CUsus kecil: kembung ketara sahaja; usus besar: tiada sakit, tiada muntah dan tiada kembung langsung
4. DUsus kecil: tiada muntah langsung; usus besar: muntah awal yang banyak tanpa kembung

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AThe air always makes the tube block
2. BIt needs an X-ray machine at the bedside
3. CThe test is far too painful for most patients to tolerate
4. DAir can be heard even when the tube is in the lung

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AInform the surgeon so that the procedure can be explained again
2. BIgnore the comment because the form is already signed
3. CReassure the patient that the surgeon knows best
4. DExplain the surgical risks in detail without involving the surgeon

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

1. A500 mL/h
2. B250 mL/h
3. C1000 mL/h
4. D375 mL/h