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

ما الاستسقاء (ascites)؟

1. Aانسداد القناة الصفراوية المشتركة
2. Bسائل في جوف الصفاق
3. Cسائل في الحيّز الجنبي حول الرئتين
4. Dتورم الكاحلين معًا

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AStomach bleeding and kidney injury
2. BConstipation and pinpoint pupils
3. CWeight gain and high potassium only
4. DHair loss and low white cell count

What is the purpose of anti-embolism stockings for surgical patients?

1. ATo lower the blood pressure after surgery
2. BTo prevent pressure ulcers on the heels
3. CTo reduce the risk of deep vein thrombosis
4. DTo keep the legs warm in theatre

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo make the bowels open before the operation
2. BTo replace the need for any IV fluids afterwards
3. CTo raise the blood pressure during the anaesthetic
4. DTo reduce insulin resistance and improve recovery

Why are urinary catheters removed as early as possible after surgery?

1. ABecause catheters always cause kidney stones
2. BBecause patients cannot drink normally while a catheter is in place
3. CBecause the catheter stops the bowel working
4. DTo reduce the risk of catheter-associated infection

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. ASitting upright, with the legs over the edge of the bed
2. BProne, with the head lower than the feet
3. COn the right side, to press on the puncture site
4. DOn the left side, to drain the liver

يصاب مريض مصاب بانسداد الأمعاء بألم شديد ثابت (لم يعد مغصيًا) وحمى ومعدل قلب 120/min وبطن متيبس مؤلم. ماذا يوحي ذلك؟

1. Aإمساك ينبغي علاجه بملين منبه
2. Bاختناق أو انثقاب يتطلب مراجعة جراحية عاجلة
3. Cالانسداد يزول مع بدء حركة الأمعاء
4. Dتقدم طبيعي لا يحتاج إلا إلى مسكن بسيط منتظم

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. ANormal confusion after any anaesthetic
2. BHypoglycaemia from the glucose
3. CHypernatraemia from too much salt
4. DHyponatraemia from hypotonic fluids