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

What is an anastomosis in bowel surgery?

1. AA tube placed in the bowel for feeding
2. BA drain placed beside the bowel
3. CAn opening of the bowel onto the skin
4. DA surgical join between two ends of bowel

Which sign is typical of hepatic encephalopathy?

1. AA fine rash over the chest and arms
2. BA stiff neck with sensitivity to light
3. CA drooping eyelid on one side
4. DA flapping tremor of the outstretched hands

What is a hiatus hernia?

1. APart of the stomach pushing up through the diaphragm
2. BPart of the bowel pushing through the groin into the scrotum
3. CA bulge of bowel through an old surgical scar
4. DBowel bulging through a weak point in the muscle at the umbilicus

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. BEmptying the pouch and measuring the output
3. CTeaching the patient about high-output risks
4. DAssessing the stoma for signs of necrosis

Why is blood lactate measured when sepsis is suspected?

1. AIt replaces the need for blood cultures
2. BIt shows which bacteria are causing the infection
3. CA raised level suggests poor tissue perfusion
4. DIt measures the effect of antibiotics on the kidney

Which advice has good evidence for reducing cancer-related fatigue?

1. ARegular light to moderate activity, such as walking
2. BDrinking several strong coffees every evening
3. CAvoiding all daily activities
4. DComplete bed rest for the whole course of treatment

On day 3 after laparoscopic cholecystectomy, a patient has abdominal pain, fever and mild jaundice, and green fluid is draining from the drain. What is most likely?

1. AUrinary retention
2. BA bile leak
3. CNormal post-operative drainage
4. DA wound haematoma

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. BStop all IV fluids completely and remove the catheter
3. CIncrease the fluid rate to keep the output high
4. DDiscuss reducing the fluid rate with the team