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

What is adjuvant chemotherapy?

1. ATreatment given only to patients who refuse surgery or radiotherapy
2. BTreatment given only to relieve symptoms
3. CTreatment after surgery to reduce the risk of recurrence
4. DTreatment given before a biopsy is taken

What is lymphoedema?

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

What does "coffee-ground" vomit usually indicate?

1. ABile coming back from an obstructed small bowel
2. BUndigested food from several days ago
3. CA side effect of drinking strong coffee
4. DBlood that has been partly digested by stomach acid

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. ASteroids must always be stopped a full week before any type of surgery
2. BThey may need extra steroid cover to prevent an adrenal crisis
3. CSteroids prevent all wound infections after surgery
4. DSteroids make the anaesthetic drugs last much longer

ما دور تقييد الصوديوم والسبيرونولاكتون في التشمع؟

1. Aرفع ضغط الدم وتحسين تدفق دم الكلى
2. Bخفض أمونيا الدم وعلاج اعتلال الدماغ
3. Cزيادة فقد البوتاسيوم ومنع فرط بوتاسيوم الدم
4. Dتقليل احتباس الصوديوم والماء وضبط الاستسقاء

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

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

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV lipid emulsion
2. BIV glucose 50%
3. CIV naloxone
4. DIV dantrolene

أربعة مرضى في جناح جراحي. أيّ مريض ينبغي أن تقيّمه الممرضة أولًا؟

1. Aنقص عدلات: كانت حرارته طبيعية قبل ساعة ويشعر بحال جيدة
2. Bفغر لفائفي مستقر: يطلب المساعدة في تغيير الكيس
3. Cاليوم الثالث بعد الجراحة: يطلب ملينًا للإمساك
4. Dبعد أربع ساعات من جراحة الأمعاء: النبض 118/min وBP 90/55 mmHg