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

What is dumping syndrome after gastric surgery?

1. AReflux of bowel contents back into the oesophagus
2. BSlow emptying of the stomach causing food to stay for days
3. CRapid passage of food from the stomach into the small bowel
4. DLeakage of bile from the liver into the abdominal cavity

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AOnly their clothes are radioactive afterwards
2. BNo, they are not radioactive and can be with family
3. CYes, so they must avoid all contact with children and pregnant women
4. DYes, for one month after each session

What is adjuvant chemotherapy?

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

Which risk is particularly linked with tramadol?

1. AHigh blood pressure that needs emergency treatment in most patients
2. BSerotonin syndrome with some antidepressants, and seizures
3. CRapid liver failure at normal doses
4. DSevere stomach ulcers in all patients

Which advice helps prevent dumping syndrome after gastrectomy?

1. ASmall, frequent meals low in simple sugars, with fluids between meals
2. BA high-sugar diet with fruit juice to keep energy levels up
3. CThree large meals a day with plenty of sweet drinks with each meal
4. DSit upright and walk briskly straight after every meal

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. ALeave the air bubble in and inject into a skin fold
2. BExpel the air bubble first and inject into the deltoid muscle
3. CRub the site firmly afterwards to help absorption
4. DInject into a vein in the back of the hand

एपिड्यूरल कैथेटर निकालने के कुछ घंटों बाद, एंटीकोएगुलेंट लेने वाले मरीज़ को पीठ दर्द और बढ़ती पैर की कमज़ोरी होती है। क्या संदेह होना चाहिए?

1. Aत्रिक दबाव घाव जिससे पैर में संदर्भित दर्द हो रहा है
2. Bदिन भर में एपिड्यूरल ब्लॉक का सामान्य रूप से उतरना
3. Cमूत्र मार्ग संक्रमण जो पीठ दर्द कर रहा है
4. Dएपिड्यूरल हेमाटोमा, जिसकी आपातकालीन समीक्षा और MRI आवश्यक है

A colleague suggests giving a saline injection to see whether a patient's pain is "real". What is the best response?

1. AIt is acceptable if a senior nurse gives the saline
2. BIt is a good idea, as long as the patient is not told about it afterwards
3. CDeceptive placebos are unethical and do not show pain is "fake"
4. DIt should be done only for patients with chronic pain