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

What is lymphoedema?

1. ASwelling from poor lymph drainage, for example after node removal
2. BInflammation of the lymph nodes in the neck and armpits from a virus
3. CFluid in the lungs from heart failure
4. DSwelling from a broken bone in the arm

When should pain be reassessed after giving analgesia?

1. AOnly if the patient asks for more analgesia
2. BNever, as one assessment is enough
3. COnly at the next routine observation round the next day
4. DWhen the drug is expected to have taken effect

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A36%
2. B18%
3. C9%
4. D27%

A nasogastric feeding tube appears blocked. What is usually the first step?

1. AUse a small 5 mL syringe with firm pressure
2. BCut the end of the tube to release the blockage inside it
3. CFlush gently with warm water in a 50 mL enteral syringe
4. DPush the guidewire back in to clear it

Which advice has good evidence for reducing cancer-related fatigue?

1. ADrinking several strong coffees every evening
2. BAvoiding all daily activities
3. CComplete bed rest for the whole course of treatment
4. DRegular light to moderate activity, such as walking

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo find out how deep the ulcer is
2. BTo exclude significant arterial disease
3. CTo find the bacteria in the wound
4. DTo check for a leg bone fracture

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. BUpper GI bleeding
3. CAnal fissure
4. DColorectal cancer

مريض مصاب بانسداد الأمعاء الدقيقة لديه أنبوب أنفي معدي يصرّف 2 L في اليوم. ما التركيز التمريضي الأهم؟

1. Aإعطاء السوائل الفموية بحرية لتعويض ما يزيله الأنبوب
2. Bنزع الأنبوب بمجرد تصريف 1 L لمنع الفقد
3. Cميزان سوائل دقيق مع تعويض وريدي وفحوص الشوارد
4. Dإطباق الأنبوب لفترات طويلة لحفظ سائل المعدة