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

What is adjuvant chemotherapy?

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

How does the pain of acute appendicitis typically progress?

1. AIt starts in the left lower abdomen, then spreads to the back
2. BIt starts in the right shoulder, then moves to the chest
3. CIt stays in the upper abdomen and eases after meals
4. DIt starts around the umbilicus, then moves to the right lower abdomen

What is the first aid for a dry chemical powder on the skin?

1. ABrush off the powder, then irrigate with plenty of water
2. BAdd vinegar to neutralise it at once
3. CCover it with a tight dressing and wait
4. DRub it in with a wet cloth to spread it thinly over the skin

What is the main treatment for a venous leg ulcer with an adequate arterial supply?

1. ACompression therapy
2. BStrong oral antibiotics for all ulcers
3. CKeeping the leg hanging down all day
4. DSurgery to amputate the limb

Which risk is particularly linked with tramadol?

1. ASevere stomach ulcers in all patients
2. BRapid liver failure at normal doses
3. CSerotonin syndrome with some antidepressants, and seizures
4. DHigh blood pressure that needs emergency treatment in most patients

Why are antiemetics usually given before chemotherapy starts?

1. AAntiemetics make the chemotherapy work better
2. BPreventing nausea works better than treating it later
3. CThey stop the chemotherapy from causing hair loss and mouth sores
4. DThey cannot be given once nausea has started

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA normal spinal effect
2. BAn anxiety attack
3. CA high spinal block
4. DA post-dural puncture headache

في اليوم الثاني من التهاب بنكرياس حاد شديد، يصاب مريض بضيق نفس وSpO₂ 88% وارتشاحات ثنائية الجانب في صورة الصدر بالأشعة السينية. أيّ مضاعفة هي الأرجح؟

1. Aاستنشاق جسم غريب
2. Bمتلازمة الضائقة التنفسية الحادة (ARDS)
3. Cنوبة ربو حادة شديدة
4. Dاسترواح صدر توتري عفوي