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

ऊष्मीय जलन (थर्मल बर्न) के लिए कौन-सा प्राथमिक उपचार अनुशंसित है?

1. Aजलन पर मक्खन या तेल लगाना
2. Bजलन पर सीधे 20 मिनट तक बर्फ़ लगाना
3. Cफफोलों को तुरंत फोड़ देना
4. Dलगभग 20 मिनट तक ठंडे बहते पानी से ठंडा करना

भरते हुए घाव में कौन-सा ऊतक लाल, नम और दानेदार दिखता है?

1. Aग्रैनुलेशन ऊतक
2. Bनेक्रोटिक ऊतक
3. Cसूखा एस्कर
4. Dपीला स्लफ़ ऊतक

Which statement describes moderate ("conscious") sedation?

1. AThe patient is drowsy but responds to voice or light touch
2. BThe patient cannot be roused by any stimulus, even a painful one
3. CThe patient is fully alert and anxious
4. DThe patient needs a ventilator to breathe

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AOnly clear fluids for several weeks
2. BNormal protein and enough calories, with a late-evening snack
3. CA very low-protein diet for the rest of their life to lower ammonia
4. DNo food at all until the confusion settles

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. ASitting upright, with the legs over the edge of the bed
2. BProne, with the head lower than the feet
3. COn the left side, to drain the liver
4. DOn the right side, to press on the puncture site

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt adjusts for body proportions that change with age
2. BIt is used only for burns of the hands
3. CIt is faster to use than any other method of estimation
4. DIt counts superficial burns as well

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARestrict protein to help the kidneys
2. BRepeat the score in three months' time
3. CEncourage fasting to reduce wound exudate and the size of the dressing
4. DRefer to the dietitian, start a nutrition plan and monitor intake

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. AConsider an alternative; if an NSAID is needed, add a PPI
2. BTake the NSAID with a glass of milk instead of food
3. CCombine two different NSAIDs at lower doses
4. DUse the highest NSAID dose to shorten the course