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

How is parenteral nutrition given?

1. AInto a vein, usually through a central line
2. BInto the muscle of the thigh
3. CBy mouth as a thick supplement drink
4. DThrough a nasogastric tube into the stomach

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

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

What is a volvulus?

1. AA twist of a loop of bowel around itself
2. BA pouch in the wall of the colon that fills with stool
3. CA tear in the lining of the anus
4. DAn infection of the appendix

ऊपरी जठरांत्र रक्तस्राव वाले मरीज़ में यूरिया क्रिएटिनिन से बहुत अधिक क्यों बढ़ सकता है?

1. Aक्रिएटिनिन उल्टी में शरीर से निकल जाता है
2. Bरक्तस्राव हमेशा सीधे गुर्दे की नलिकाओं को क्षति पहुँचाता है
3. Cपचा हुआ रक्त प्रोटीन भार है जो यूरिया बढ़ाता है
4. Dयूरिया रक्तस्राव करती आमाशय की परत से बनता है

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. AThe tourniquet slowly loses all its air after one minute
2. BIt shows how long the anaesthetic gas was used
3. CLong inflation can cause nerve and muscle damage
4. DThe surgeon is paid per minute of use

Which advice helps prevent dumping syndrome after gastrectomy?

1. ASit upright and walk briskly straight after every meal
2. BA high-sugar diet with fruit juice to keep energy levels up
3. CSmall, frequent meals low in simple sugars, with fluids between meals
4. DThree large meals a day with plenty of sweet drinks with each meal

A patient with lung cancer becomes hypotensive and breathless, with distended neck veins and quiet heart sounds. What should the nurse suspect?

1. ASuperior vena cava obstruction from the tumour
2. BHypercalcaemia of malignancy from bone metastases
3. CCardiac tamponade from a pericardial effusion
4. DA side effect of anti-sickness drugs

Which medicine commonly needs enteral feeds paused before and after each dose because the feed reduces its absorption?

1. APhenytoin
2. BParacetamol
3. COmeprazole liquid
4. DLactulose