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

Which signs suggest a deep vein thrombosis in the leg?

1. ACold, pale feet on both sides with no pulse
2. BItching between the toes of both feet
3. CA painless rash on both shins
4. DSwelling, pain, warmth and redness of one calf

What is brachytherapy?

1. ASurgery to remove a tumour through a small incision
2. BRadiotherapy from a sealed source placed in or next to the tumour
3. CRadiotherapy given by a machine from outside the body
4. DChemotherapy given slowly into a vein over several hours each day

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

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

Which advice may help reduce the risk of a parastomal hernia after stoma surgery?

1. AKeep the stoma bag as full as possible
2. BDo intensive sit-ups from the first week
3. CAvoid heavy lifting early on and use support garments as advised
4. DStrain hard on the toilet each day to strengthen the abdominal muscles

Which finding means a patient is usually ready to leave recovery for the ward?

1. AStill drowsy and needing a jaw thrust to breathe
2. BPain score 9/10 and vomiting repeatedly
3. CSystolic BP falling steadily over the last hour, with a rising pulse rate
4. DAwake, with a clear airway, stable observations and controlled pain

Which advice helps prevent dumping syndrome after gastrectomy?

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

During burn resuscitation, a 70 kg adult's urine output has been 120 mL/h for 3 hours, and the face and limbs are very oedematous. What should the nurse do?

1. AGive a diuretic without discussing it
2. BDiscuss reducing the fluid rate with the team
3. CStop all IV fluids completely and remove the catheter
4. DIncrease the fluid rate to keep the output high

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

1. A1000 mL/h
2. B375 mL/h
3. C250 mL/h
4. D500 mL/h