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

What is healing by secondary intention?

1. AA wound that heals without any new tissue
2. BA wound left open that heals from the base upwards
3. CA wound closed with sutures straight after surgery
4. DA wound closed a few days after it was left open

Why is adrenaline sometimes added to a local anaesthetic?

1. AIt narrows vessels, so the block lasts longer and bleeding is less
2. BIt turns the local anaesthetic into a general anaesthetic
3. CIt makes the patient fall asleep more quickly
4. DIt stops the local anaesthetic causing any allergy

भरते हुए घाव में कौन-सा ऊतक लाल, नम और दानेदार दिखता है?

1. Aग्रैनुलेशन ऊतक
2. Bपीला स्लफ़ ऊतक
3. Cनेक्रोटिक ऊतक
4. Dसूखा एस्कर

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

1. AGive the medicines but not the feed
2. BDo not use it; re-test later or arrange an X-ray as per policy
3. CStart the feed slowly and watch the patient closely for coughing
4. DFlush with 50 mL of air and start the feed

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. ARinging in the ears
2. BHair growth
3. CIncreased hunger
4. DItching

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. ALoss of the sense of smell
2. BPermanent high blood glucose
3. CExcess growth of body hair
4. DDamage to the heart muscle

On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

1. AEscalate urgently and start the sepsis pathway
2. BEncourage oral fluids and wait for the doctor's round
3. CGive paracetamol and recheck in four hours
4. DRecord the observations and continue routine care

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

1. ABiliary colic from a new stone
2. BHepatitis B infection
3. CPost-ERCP pancreatitis
4. DAcute appendicitis