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

Where are venous leg ulcers usually found?

1. AOn the tips of the toes and between the toes
2. BAround the inner ankle, in the gaiter area
3. COn the sole of the foot under the heel
4. DOn the front of the thigh

Where should a diathermy return electrode (plate) be placed?

1. AOn skin covered with spirit-based prep that is still wet
2. BOver a bony area such as the hip bone
3. COver a metal joint replacement
4. DOn clean, dry skin over a well-perfused muscle

Where is biliary colic typically felt?

1. AIn the lower back, after lifting something heavy
2. BIn the groin, after standing for a long time
3. CIn the left lower abdomen, after passing stool
4. DIn the right upper abdomen, often after a fatty meal

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. AThe tourniquet slowly loses all its air after one minute
2. BThe surgeon is paid per minute of use
3. CIt shows how long the anaesthetic gas was used
4. DLong inflation can cause nerve and muscle damage

Which group of findings suggests obstruction of the bile duct?

1. AJaundice, dark urine, pale stools and itching
2. BPale urine, dark stools and a flapping tremor
3. CNormal skin colour with diarrhoea and fever
4. DRed urine, black stools and a high blood glucose

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

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. ACircumferential chest burns, with breathing becoming shallow and laboured
2. BPartial-thickness burns to both legs, with pain rated 8/10
3. CRedness on the backs of both hands, and very anxious
4. DA blistered forearm burn and a small cut on the knee

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. ACapillary blood glucose
2. BAbdominal girth
3. CSerum amylase level
4. DPeak expiratory flow