उत्तरों सहित मेड-सर्ज: पाचन, शल्य-पूर्व/पश्चात और कैंसर वर्कशीट

न्यूट्रोपीनिया क्या है?

1. Aश्वेत कोशिका गिनती का अधिक होना
2. Bप्लेटलेट गिनती का कम होना
3. Cन्यूट्रोफ़िल गिनती का कम होना
4. Dलाल कोशिका गिनती का कम होना

What is the first phase of wound healing?

1. AEpithelialisation
2. BMaturation
3. CProliferation
4. DHaemostasis

What is an incisional hernia?

1. AA bulge of stomach through the diaphragm
2. BA bulge through a weakened surgical scar
3. CA pouch in the wall of the colon
4. DA swelling in the groin present from birth

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ADouble the dose for a week so the blood is ready for surgery
2. BSwap to aspirin on the morning of surgery
3. CStop it about 5 days before and check the INR
4. DTake the usual dose on the morning of surgery

Which liver function test pattern suggests bile duct obstruction?

1. ANormal bilirubin with a low ALP and low GGT
2. BA low albumin with all other results normal
3. CVery high ALT with a normal bilirubin only
4. DHigh bilirubin with a markedly raised ALP and GGT

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat the patient's blood glucose is above normal
2. BThat bowel sounds are present in all four quadrants
3. CThat the patient has passed urine since the procedure
4. DThat swallowing and the gag reflex have returned

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

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

A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?

1. ACancer and its treatment greatly increase clot risk
2. BIt is only a muscle strain from walking
3. CThe swelling shows the cancer has gone
4. DCalf swelling is a normal effect of chemotherapy