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

What is the MUST tool used for?

1. AMeasuring pain in confused patients
2. BScreening adults for malnutrition risk
3. CScoring the severity of a burn injury
4. DAssessing the risk of falls

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

What is the first phase of wound healing?

1. AEpithelialisation
2. BProliferation
3. CMaturation
4. DHaemostasis

Which advice helps a patient with haemorrhoids?

1. ATake a codeine-based painkiller every day
2. BEat less fibre so that stools are smaller
3. CSit on the toilet for long periods to empty fully
4. DEat more fibre, drink enough fluid and avoid straining

Which patient is at highest risk of refeeding syndrome?

1. AA healthy adult after an overnight fast for minor surgery
2. BAn underweight patient who has eaten very little for 10 days
3. CA patient who missed one lunch because of a scan
4. DA patient with a normal BMI eating three meals a day

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

1. ADeciding whether IV fluids are needed
2. BTeaching the patient about high-output risks
3. CEmptying the pouch and measuring the output
4. DAssessing the stoma for signs of necrosis

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. ANormal swelling after neck surgery
2. BA haematoma pressing on the airway
3. CLow blood calcium from the surgery
4. DAn allergy to the wound dressing

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA post-dural puncture headache
2. BAn anxiety attack
3. CA high spinal block
4. DA normal spinal effect