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

أيّ نسيج في الجرح الملتئم يبدو أحمر رطبًا حُبيبيًا؟

1. Aالنسيج النخري
2. Bنسيج القشرة الصفراء (slough)
3. Cالخشكريشة الجافة
4. Dالنسيج الحبيبي

Which non-invasive test is commonly used to detect Helicobacter pylori infection?

1. AUrea breath test
2. BSerum amylase test
3. CFaecal occult blood test
4. DLiver function tests

Which exercises are usually taught to patients before major surgery?

1. ALong-distance running every day
2. BHolding the breath for as long as possible
3. CDeep breathing, coughing and leg exercises
4. DHeavy weightlifting to build strength

How should pancreatic enzyme replacement capsules usually be taken?

1. AOnce a day at bedtime
2. BOnly on days with abdominal pain
3. CWith every meal and snack
4. DOne hour after meals, on an empty stomach

أيّ نصيحة غذائية تقلّل خطر الانسداد مع فغر لفائفي جديد؟

1. Aشرب سوائل قليلة جدًا لإبقاء الخرج سميكًا
2. Bبلع الطعام بسرعة دون مضغه كثيرًا
3. Cالمضغ الجيد، وإدخال الأطعمة الليفية ببطء
4. Dتناول كميات كبيرة من المكسرات والبذور من اليوم الأول

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt blocks the effect of all opioids
2. BIt always causes severe diarrhoea
3. CIt makes the bowel stop moving completely
4. DIt increases gut movement against the blockage

Which patient has the highest risk of postoperative nausea and vomiting?

1. AA smoker who has never had nausea after surgery
2. BA man with no history of nausea having local anaesthetic only
3. CA non-smoking woman with motion sickness who will need opioids
4. DA male smoker having a short procedure without opioids

An immobile patient on opioids drinks very little. Which laxative choice is least appropriate?

1. AA bulk-forming laxative used on its own
2. BAn osmotic laxative such as a macrogol
3. CA stool softener with a stimulant laxative
4. DA stimulant laxative taken regularly