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

Where are venous leg ulcers usually found?

1. AOn the tips of the toes and between the toes
2. BAround the inner ankle, in the gaiter area
3. COn the front of the thigh
4. DOn the sole of the foot under the heel

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, so they must avoid all contact with children and pregnant women
2. BYes, for one month after each session
3. CNo, they are not radioactive and can be with family
4. DOnly their clothes are radioactive afterwards

What does black tissue in a wound bed usually indicate?

1. AHealthy granulation tissue
2. BNormal blood clot from a fresh cut
3. CNecrotic (dead) tissue
4. DNew epithelial cells

Which advice helps a patient with haemorrhoids?

1. AEat more fibre, drink enough fluid and avoid straining
2. BEat less fibre so that stools are smaller
3. CTake a codeine-based painkiller every day
4. DSit on the toilet for long periods to empty fully

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe swab result means the wound is infected
2. BThe wound must be closed with sutures again
3. CThe wound is colonised; antibiotics are not usually needed
4. DThe patient needs IV antibiotics straight away, whatever the wound looks like

Which statement about pain relief in acute pancreatitis is correct?

1. AOnly paracetamol may be given
2. BOpioids must never be used in pancreatitis
3. COpioids can be used, and good analgesia is a priority
4. DPain relief should be withheld until the diagnosis is certain

After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?

1. AMyoglobin from muscle damage; a higher urine output target
2. BNormal concentrated urine; restrict fluids
3. CA urinary infection; send a sample and wait for the result
4. DBleeding from the bladder; stop all fluids

35% TBSA जलन वाला मरीज़ हाइपरमेटाबॉलिक चरण में प्रवेश कर रहा है। कौन-सी पोषण योजना सबसे उपयुक्त है?

1. Aशीघ्र एंटरल आहार, उच्च ऊर्जा और प्रोटीन वाला
2. Bगुर्दों को क्षति से बचाने के लिए कम प्रोटीन वाला आहार
3. Cजलन के घाव भरने तक केवल साफ़ तरल पदार्थ
4. Dआंत को पूरी तरह आराम देने के लिए दो सप्ताह तक मुँह से कुछ नहीं