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

What is the main serious risk of paracetamol (acetaminophen) overdose?

1. AStomach bleeding
2. BLiver damage
3. CRespiratory depression
4. DHearing loss

In TNM staging of cancer, what does "N" describe?

1. AThe number of tumours in the body
2. BSpread to nearby lymph nodes
3. CThe new cells formed after treatment
4. DThe nerve damage caused by the tumour

Which features are typical of a superficial partial-thickness burn?

1. ARedness only, with no blisters, like sunburn
2. BDry, white, leathery skin with no pain
3. CBlisters, a moist pink base and severe pain
4. DCharred skin with exposed muscle and bone

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo replace the need for any IV fluids afterwards
2. BTo reduce insulin resistance and improve recovery
3. CTo make the bowels open before the operation
4. DTo raise the blood pressure during the anaesthetic

Why is a urinary catheter usually inserted in a patient with a major burn?

1. ABurns always cause the bladder to rupture
2. BIt is needed to give medicines into the bladder
3. CHourly urine output guides fluid resuscitation
4. DThe catheter prevents wound infection

अधिक रिसाव (एक्ज़ुडेट) वाले घाव के लिए आमतौर पर कौन-सी ड्रेसिंग उपयुक्त है?

1. Aसप्ताह में एक बार बदली जाने वाली सूखी गॉज़
2. Bएल्जिनेट या फ़ोम
3. Cपतली पारदर्शी फ़िल्म
4. Dहाइड्रोजेल शीट

आंत अवरोध वाले मरीज़ को लगातार गंभीर दर्द (अब ऐंठन जैसा नहीं), बुखार, हृदय गति 120/min और कठोर, छूने पर दर्द वाला पेट हो जाता है। यह क्या सुझाता है?

1. Aस्ट्रैंगुलेशन या छिद्रण जिसमें तत्काल शल्य समीक्षा चाहिए
2. Bसामान्य प्रगति जिसमें केवल नियमित साधारण दर्द-निवारण चाहिए
3. Cआंत हिलना शुरू होने से अवरोध ठीक हो रहा है
4. Dकब्ज़ जिसका उपचार उत्तेजक रेचक से किया जाना चाहिए

After surgery, a patient says they have "no pain" but grimaces, breathes shallowly and refuses to move or cough. What should the nurse do?

1. AAccept the statement and record a pain score of 0
2. BInsist they walk without any analgesia
3. CExplore their beliefs and explain how analgesia aids recovery
4. DTell the patient firmly that they must stop hiding their pain from staff