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

What is pulmonary aspiration?

1. AA collapsed lung after a chest drain
2. BInhaling stomach contents or other material into the lungs
3. CBreathing too fast after surgery
4. DRemoving fluid from the chest with a needle through the ribs

Which signs suggest peritonitis?

1. AA small, painless lump near the umbilicus
2. BLoud bowel sounds with a hungry feeling
3. CGuarding, rebound tenderness and a rigid abdomen
4. DA soft abdomen with no pain on pressing

What is steatorrhoea?

1. ABlack stools caused by taking iron tablets each day
2. BBright red blood mixed in with the stool on most days
3. CPale, greasy, foul-smelling stools that may float
4. DVery hard, pellet-like stools

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ANo risk of any complications at all
2. BLess pain and a shorter hospital stay
3. CLarger wounds that heal faster
4. DNo need for a general anaesthetic ever

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ADisease that is cured by removing the colon
2. BFistulas between the bowel and other organs
3. CInflammation limited to the rectal lining
4. DBleeding only from the rectum

Which statement about pain relief in acute pancreatitis is correct?

1. AOpioids can be used, and good analgesia is a priority
2. BOnly paracetamol may be given
3. CPain relief should be withheld until the diagnosis is certain
4. DOpioids must never be used in pancreatitis

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV glucose 50%
2. BIV dantrolene
3. CIV lipid emulsion
4. DIV naloxone

While a central line is disconnected, a patient suddenly becomes breathless with chest pain and hypotension. Air embolism is suspected. What should the nurse do first?

1. ARemove the central line straight away and leave the site open to the air
2. BClamp the line, lie the patient left side down, head low; give oxygen
3. CGive the patient a drink and observe for an hour
4. DSit the patient fully upright and flush the line