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

In TNM staging of cancer, what does "N" describe?

1. ASpread to nearby lymph nodes
2. BThe nerve damage caused by the tumour
3. CThe number of tumours in the body
4. DThe new cells formed after treatment

What does standard H. pylori eradication therapy usually combine?

1. AAn antacid and a single antifungal drug
2. BA proton pump inhibitor and two antibiotics
3. CTwo NSAIDs and a stimulant laxative for one month
4. DA steroid and an antiviral drug

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

1. AUp to 2 hours before
2. BUp to 12 hours before
3. CUp to 24 hours before
4. DUp to 10 minutes before

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AIncreased hunger
2. BHair growth
3. CRinging in the ears
4. DItching

Seorang pesakit dengan ileostomi baharu mempunyai output yang sangat tinggi. Apakah risiko utama?

1. ALebihan cecair dan bengkak buku lali
2. BSembelit dan impaksi najis dalam usus di atas stoma
3. CKalsium tinggi dan batu karang buah pinggang dalam beberapa hari
4. DDehidrasi dan kehilangan natrium, kalium dan magnesium

Pendekatan manakah terhadap pemindahan sel darah merah pada pesakit stabil dengan pendarahan GI yang sesuai dengan bukti semasa?

1. AMemindahkan dua unit secara rutin sebelum setiap endoskopi
2. BMemindahkan darah kepada semua orang untuk mengekalkan hemoglobin melebihi 150 g/L sepanjang masa
3. CTidak pernah memindahkan darah, apa pun hemoglobin atau gejalanya
4. DAmbang restriktif, selalunya sekitar 70 g/L, pada kebanyakan pesakit stabil

A nurse has a needlestick injury after taking blood from a patient with hepatitis B. What should the nurse do first?

1. AFinish the shift and report it the next day
2. BSuck the wound to remove as much of the blood as possible
3. CWash the site with soap and running water, without scrubbing
4. DScrub the area hard with a nail brush and alcohol

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

1. ACrohn's disease of the ileum
2. BAnal fissure
3. CColorectal cancer
4. DUpper GI bleeding