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

What is portal hypertension?

1. AHigh blood pressure in the arteries of the arms and legs
2. BRaised pressure in the portal venous system to the liver
3. CRaised pressure in the lungs from heart failure
4. DHigh pressure inside the skull

What is an anastomosis in bowel surgery?

1. AA surgical join between two ends of bowel
2. BA tube placed in the bowel for feeding
3. CAn opening of the bowel onto the skin
4. DA drain placed beside the bowel

Which signs suggest a surgical site infection?

1. AA dry wound edge with a thin scab
2. BMild itching as the wound heals
3. CIncreasing pain, redness, swelling, heat and pus
4. DMild bruising around the wound that is fading a little each day

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. ACo-codamol must be stopped a week before any paracetamol
2. BIt already contains paracetamol, so overdose could occur
3. CCo-codamol stops paracetamol from working
4. DParacetamol and codeine cause a severe allergic reaction when combined

How should a patient use an incentive spirometer after surgery?

1. ABlow out as hard and as fast as possible
2. BBreathe quickly in and out ten times in a row
3. CBreathe in slowly and deeply, then hold briefly
4. DUse it once a day, just before going to sleep at night

In the UK National Early Warning Score (NEWS2), what does an aggregate score of 5 or more usually trigger?

1. ARoutine observations once every 12 hours, with no other change in care
2. BNo change unless the patient complains
3. CAn urgent review by a clinician skilled in acute illness
4. DDischarge planning for the next day

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. BNormal electrolytes with respiratory alkalosis
3. CHigh chloride, high potassium and metabolic acidosis
4. DHigh calcium, high sodium and respiratory acidosis

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