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

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ACramping pain low in the left side of the abdomen
2. BBurning pain behind the breastbone (heartburn)
3. CSharp pain in the right shoulder after meals
4. DPainless yellowing of the skin and eyes

What is the first phase of wound healing?

1. AMaturation
2. BEpithelialisation
3. CHaemostasis
4. DProliferation

Why is adrenaline sometimes added to a local anaesthetic?

1. AIt turns the local anaesthetic into a general anaesthetic
2. BIt makes the patient fall asleep more quickly
3. CIt narrows vessels, so the block lasts longer and bleeding is less
4. DIt stops the local anaesthetic causing any allergy

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

1. AFemoral nerve
2. BFacial nerve
3. CSciatic nerve
4. DUlnar nerve

What is the most important safety point about misoprostol?

1. AIt must be given only by deep intramuscular injection
2. BIt causes severe constipation in most patients
3. CIt can cause miscarriage and must not be used in pregnancy
4. DIt strongly raises blood glucose in people with diabetes

How is an uncomplicated sigmoid volvulus often first treated?

1. ADecompression with a flexible sigmoidoscope and flatus tube
2. BEating a large high-fibre meal
3. CA barium meal given by mouth to untwist the bowel slowly
4. DHigh-dose laxatives taken by mouth

An 80 kg adult has 30% TBSA partial- and full-thickness burns. Using the Parkland formula, how much crystalloid is planned for the first 8 hours from the time of the burn?

1. A4800 mL
2. B3200 mL
3. C9600 mL
4. D2400 mL

بالغ وزنه 70 kg لديه حروق بمساحة 40% من إجمالي سطح الجسم. باستخدام معادلة باركلاند، كيف تُقسَّم عادةً السوائل البلّورية في أول 24 ساعة؟

1. Aالنصف في أول 8 ساعات من وقت الحرق، والنصف الآخر خلال الـ 16 ساعة التالية
2. Bكلها في الساعة الأولى، ثم سوائل فموية فقط لبقية اليوم
3. Cكميات ساعية متساوية على مدى 24 ساعة، تُحسب من الوصول إلى المستشفى
4. Dالربع في أول 8 ساعات من الوصول، والباقي خلال 16 ساعة