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

Apakah itu asites?

1. ACecair dalam rongga peritoneum
2. BBengkak pada kedua-dua buku lali
3. CDuktus hempedu sepunya yang tersumbat
4. DCecair dalam ruang pleura di sekeliling paru-paru

What is the main purpose of marking the surgical site before an operation?

1. ATo tell the porter which theatre to go to
2. BTo prevent surgery on the wrong side or site
3. CTo record the patient's allergy status
4. DTo show where the skin should be shaved

Which diet is usually advised to help prevent symptoms of diverticular disease?

1. AA diet with no fruit or vegetables
2. BA diet based mainly on red meat
3. CA high-fibre diet with plenty of fluids
4. DA low-fibre diet with very little fluid

Mengapakah urea mungkin meningkat jauh lebih banyak daripada kreatinin pada pesakit pendarahan GI atas?

1. AUrea dihasilkan oleh lapisan perut yang berdarah
2. BDarah yang dihadam ialah beban protein yang meningkatkan urea
3. CPendarahan sentiasa merosakkan tubul buah pinggang secara langsung
4. DKreatinin hilang daripada badan dalam muntah

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. ASteroids make the anaesthetic drugs last much longer
2. BSteroids prevent all wound infections after surgery
3. CThey may need extra steroid cover to prevent an adrenal crisis
4. DSteroids must always be stopped a full week before any type of surgery

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

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

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

1. ALevothyroxine
2. BOmeprazole
3. CParacetamol (acetaminophen)
4. DAmlodipine

A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?

1. ATumour lysis syndrome
2. BDiabetes insipidus
3. CSIADH
4. DHypercalcaemia of malignancy