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

Bagaimanakah output ileostomi biasanya berbeza daripada output kolostomi sigmoid?

  1. AOutput ileostomi berbentuk tahi; output kolostomi berbentuk cecair
  2. BKedua-duanya menghasilkan gas dan mukus sahaja
  3. COutput ileostomi berbentuk cecair; output kolostomi berbentuk tahi
  4. DKedua-duanya menghasilkan najis berbentuk sekali sehari
2.Mudah

Which exercises are usually taught to patients before major surgery?

  1. ADeep breathing, coughing and leg exercises
  2. BHolding the breath for as long as possible
  3. CHeavy weightlifting to build strength
  4. DLong-distance running every day
3.Mudah

Which electrolyte typically falls in refeeding syndrome?

  1. ACalcium
  2. BPhosphate
  3. CSodium
  4. DChloride
4.Sederhana

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

  1. AThe patient's eye drops and skin creams
  2. BThe patient's mobility aids and walking distance
  3. CThe medicine chart, including laxatives and antibiotics
  4. DThe colour of the feeding bag label
5.Sederhana

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

  1. ATo exclude significant arterial disease
  2. BTo find out how deep the ulcer is
  3. CTo find the bacteria in the wound
  4. DTo check for a leg bone fracture
6.Sederhana

Which check is routinely made for a patient with a burn wound?

  1. AMeasles vaccination status
  2. BTetanus immunisation status
  3. CBlood group of the next of kin
  4. DVisual acuity in both eyes
7.Sukar

A patient with haematemesis becomes drowsy and starts to vomit blood again. What is the immediate priority?

  1. ATurn the patient onto their side to protect the airway
  2. BComplete the admission paperwork and medication history
  3. CSend a stool sample for faecal occult blood testing
  4. DGive a large glass of iced water to slow the bleeding
8.Sukar

On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

  1. AEncourage oral fluids and wait for the doctor's round
  2. BRecord the observations and continue routine care
  3. CGive paracetamol and recheck in four hours
  4. DEscalate urgently and start the sepsis pathway

Kunci jawapan

  1. 1. C · Output ileostomi berbentuk cecair; output kolostomi berbentuk tahi
  2. 2. A · Deep breathing, coughing and leg exercises
  3. 3. B · Phosphate
  4. 4. C · The medicine chart, including laxatives and antibiotics
  5. 5. A · To exclude significant arterial disease
  6. 6. B · Tetanus immunisation status
  7. 7. A · Turn the patient onto their side to protect the airway
  8. 8. D · Escalate urgently and start the sepsis pathway

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