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

तीव्र पैंक्रियाटाइटिस के निदान के लिए आमतौर पर कौन-सा रक्त परीक्षण उपयोग होता है?

1. Aलाइपेज़ या एमाइलेज़ सामान्य से 3 गुना से अधिक
2. Bबिलीरुबिन सामान्य ऊपरी सीमा से तीन गुना से अधिक
3. Cथायरॉइड-उत्तेजक हार्मोन स्तर
4. Dट्रोपोनिन 99वें परसेंटाइल से ऊपर

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 0.5 mL/kg per hour
2. BAbout 50 mL/kg per hour
3. CAbout 0.05 mL/kg per hour
4. DAbout 5 mL/kg per hour

What is an ERCP?

1. AA blood test that measures pancreatic enzymes
2. BA CT scan of the abdomen without contrast
3. CAn endoscopic test to view and treat the bile and pancreatic ducts
4. DAn open operation to remove the gallbladder

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

1. APain only on deep breathing that eases when sitting forwards
2. BPain in the right lower abdomen with fever and vomiting
3. CPain 2–3 hours after meals and at night, eased by eating
4. DPain straight after eating that is worsened by food

Which early symptoms suggest local anaesthetic systemic toxicity?

1. ATingling around the mouth, a metallic taste and tinnitus
2. BIncreased hunger and thirst over several hours, with a dry mouth
3. CA red rash only at the injection site, with no other symptoms
4. DMild itching of the feet the next day

मरीज़ों को खाँसते समय पेट के घाव को तकिए से सहारा देना क्यों सिखाया जाता है?

1. Aयह खाँसी को कमज़ोर करता है ताकि घाव जोखिम में न पड़े
2. Bयह दर्द और खिंचाव घटाता है, जिससे वे अच्छी तरह खाँस सकते हैं
3. Cयह नियमित दर्द-निवारण की आवश्यकता को बदल देता है
4. Dयह त्वचा के किनारों का भरना तेज़ करता है

A patient has had a large terminal ileum resection for Crohn's disease. Which long-term problems should the nurse anticipate?

1. AIron overload and constipation
2. BInsulin deficiency and high blood glucose from loss of the islets
3. CVitamin B₁₂ deficiency and bile-acid diarrhoea
4. DExcess vitamin D and calcium kidney stones in the first year

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. AOesophageal perforation
2. BSimple reflux after the dilatation
3. CNormal discomfort after the procedure
4. DAn allergic reaction to the sedative