ورقة عمل التمريض الباطني الجراحي: الجهاز الهضمي وما حول الجراحة والأورام مع الإجابات

What is a volvulus?

1. AA twist of a loop of bowel around itself
2. BA tear in the lining of the anus
3. CAn infection of the appendix
4. DA pouch in the wall of the colon that fills with stool

Which statement about hepatitis C is correct?

1. AIt always clears by itself within two weeks
2. BIt is spread mainly through blood, and there is no vaccine
3. CIt can be treated only with a liver transplant
4. DIt is spread mainly by food, and a vaccine is given to babies

What is abdominal paracentesis?

1. AA camera test of the lining of the large bowel
2. BDraining fluid from the abdominal cavity with a needle or drain
3. CRemoval of the gallbladder through several small abdominal incisions
4. DInjection of dye into a vein in the arm

ما الأولوية الأولى عندما يصل مريض إلى غرفة الإفاقة بعد تخدير عام؟

1. Aالمجرى الهوائي والتنفس
2. Bشربة ماء
3. Cالقصة الدوائية
4. Dضماد الجرح والمفجّرات

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AOral calcium tablets and vitamin D
2. BFluid restriction and a thiazide diuretic
3. CIV fluids followed by an IV bisphosphonate
4. DA high-calcium diet with extra milk

Which group of findings suggests obstruction of the bile duct?

1. ARed urine, black stools and a high blood glucose
2. BJaundice, dark urine, pale stools and itching
3. CNormal skin colour with diarrhoea and fever
4. DPale urine, dark stools and a flapping tremor

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. AHyponatraemia from hypotonic fluids
2. BNormal confusion after any anaesthetic
3. CHypoglycaemia from the glucose
4. DHypernatraemia from too much salt

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. ARadiation oesophagitis; analgesia, soft food and nutrition support
2. BNormal ageing; no action needed
3. CA stomach ulcer; give an antacid after meals only
4. DA heart attack; give aspirin and arrange an ECG