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

Apakah itu neutropenia?

1. AKiraan neutrofil yang rendah
2. BKiraan sel darah merah yang rendah
3. CKiraan platelet yang rendah
4. DKiraan sel darah putih yang tinggi

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, so they must avoid all contact with children and pregnant women
2. BYes, for one month after each session
3. CNo, they are not radioactive and can be with family
4. DOnly their clothes are radioactive afterwards

Apakah itu hematokezia?

1. ABatuk berkahak merah terang yang bercampur darah
2. BNajis hitam, berlengas dan berbau busuk
3. CMuntah darah merah segar
4. DDarah merah segar yang keluar dari rektum

Which presentation fits acute diverticulitis?

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

A dying patient can no longer drink. Which mouth care is most appropriate?

1. AFrequent, gentle moistening of the mouth and lips
2. BNo mouth care, to avoid disturbing the patient
3. CBrushing hard with a stiff toothbrush twice a day
4. DLemon and glycerine swabs every hour to stimulate saliva

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AA metabolite can build up and cause seizures
2. BIt has no pain-relieving effect at all in adults
3. CIt can only be given by mouth
4. DIt always causes severe diarrhoea

Peraturan keselamatan manakah yang terpakai kepada vinkristin?

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

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. ARecord it as a family allergy to paracetamol
2. BInform the anaesthetist, as malignant hyperthermia may run in the family
3. CReassure the patient that fevers after anaesthesia are always harmless
4. DGive paracetamol before surgery to prevent fever