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

Pertolongan cemas manakah yang disyorkan untuk lecuran haba?

1. AMemecahkan lepuh serta-merta
2. BAis diletakkan terus pada lecuran selama 20 minit
3. CMentega atau minyak disapu pada lecuran
4. DAir paip sejuk mengalir selama kira-kira 20 minit

Which sign is typical of hepatic encephalopathy?

1. AA fine rash over the chest and arms
2. BA flapping tremor of the outstretched hands
3. CA drooping eyelid on one side
4. DA stiff neck with sensitivity to light

What is an escharotomy?

1. ARemoval of the whole limb after a deep, extensive burn
2. BPlacing a skin graft on a burn
3. CDraining a blister with a needle
4. DA cut through burned, tight skin to relieve pressure

Which early symptoms suggest local anaesthetic systemic toxicity?

1. AMild itching of the feet the next day
2. BIncreased hunger and thirst over several hours, with a dry mouth
3. CTingling around the mouth, a metallic taste and tinnitus
4. DA red rash only at the injection site, with no other symptoms

Which statement about corticosteroids in inflammatory bowel disease is correct?

1. AThey are given only as a one-off injection
2. BThey are the best long-term maintenance treatment
3. CThey are used to induce remission, not for maintenance
4. DThey cure the disease after one course

Dalam tempoh manakah selepas pembedahan dehisens luka paling berkemungkinan berlaku?

1. AHanya semasa pembedahan
2. BDalam jam pertama
3. CKira-kira 5–10 hari selepas pembedahan
4. DLebih setahun selepas pembedahan

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. AConsider an alternative; if an NSAID is needed, add a PPI
2. BCombine two different NSAIDs at lower doses
3. CTake the NSAID with a glass of milk instead of food
4. DUse the highest NSAID dose to shorten the course

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AEarly dumping from fluid shifts; give a large drink of water
2. BLate dumping with low blood glucose; check capillary glucose
3. CAn anastomotic leak; insert a nasogastric tube at once
4. DVitamin B₁₂ deficiency; give an injection now