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

न्यूट्रोपीनिया वाले मरीज़ में संक्रमण घटाने के लिए कौन-सी सावधानी सबसे महत्वपूर्ण है?

1. Aहर आगंतुक के लिए एंटीबायोटिक
2. Bसभी द्वारा सख़्त हाथ स्वच्छता
3. Cमरीज़ को बिस्तर पर रखना
4. Dपूरे दिन पर्दे बंद रखना

ओपिऑइड का कौन-सा दुष्प्रभाव लगातार उपयोग के साथ आमतौर पर कम नहीं होता?

1. Aमतली और उल्टी
2. Bखुजली
3. Cकब्ज़
4. Dबेहोशी/उनींदापन (सेडेशन)

What is a parastomal hernia?

1. AA bulge of bowel through the abdominal wall next to a stoma
2. BA stoma that has sunk below the level of the skin
3. CA narrowing of the stoma opening
4. DA sore, red area of skin under the stoma bag from leaking output

Why are many patients screened for MRSA before planned surgery?

1. ATo check whether the patient has had a flu vaccine
2. BSo that surgery can be cancelled for all positive patients
3. CSo that carriers can be decolonised to reduce infection
4. DTo decide which anaesthetic drug to use

Why might a patient's platelet count be monitored while they receive heparin?

1. ATo measure the heparin dose in the blood exactly
2. BTo detect heparin-induced thrombocytopenia
3. CTo check whether the heparin is causing anaemia
4. DTo see whether the patient has an infection

Which task for a stable patient with an established ileostomy can usually be delegated to a trained healthcare assistant (nursing assistant)?

1. AEmptying the pouch and measuring the output
2. BDeciding whether IV fluids are needed
3. CAssessing the stoma for signs of necrosis
4. DTeaching the patient about high-output risks

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

1. AAnal fissure
2. BUpper GI bleeding
3. CCrohn's disease of the ileum
4. DColorectal cancer

A patient with gastric outlet obstruction has vomited repeatedly for several days. Which blood picture is most likely?

1. ALow chloride, low potassium and metabolic alkalosis
2. BHigh calcium, high sodium and respiratory acidosis
3. CNormal electrolytes with respiratory alkalosis
4. DHigh chloride, high potassium and metabolic acidosis