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

Why does a low serum albumin contribute to oedema?

1. AIt raises blood pressure and pushes fluid into the kidneys
2. BIt blocks the lymph vessels in the abdomen
3. CIt causes the heart to pump more blood into the legs
4. DIt lowers oncotic pressure, so fluid leaks into tissues

What is an escharotomy?

1. AA cut through burned, tight skin to relieve pressure
2. BDraining a blister with a needle
3. CRemoval of the whole limb after a deep, extensive burn
4. DPlacing a skin graft on a burn

ऑस्टोमी पाउच आमतौर पर कब खाली किया जाना चाहिए?

1. Aजब वह एक-तिहाई से आधा भर जाए
2. Bकेवल जब वह ऊपर तक पूरी तरह भर जाए
3. Cकेवल जब वह रिसने लगे
4. Dदिन में एक बार, एक ही समय पर

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 patient needs IV antibiotics straight away, whatever the wound looks like
4. DThe wound is colonised; antibiotics are not usually needed

What is the main treatment for a venous leg ulcer with an adequate arterial supply?

1. ASurgery to amputate the limb
2. BStrong oral antibiotics for all ulcers
3. CKeeping the leg hanging down all day
4. DCompression therapy

Which statement about pain relief in acute pancreatitis is correct?

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

After a fall, a patient with advanced dementia is agitated, grimacing and guarding the hip, and cannot rate the pain. What should the nurse do?

1. AAssume there is no pain because none is reported
2. BUse an observational pain tool, give analgesia and reassess
3. CWait until a relative can confirm the pain
4. DGive a sedative to treat the agitation and avoid giving any analgesia

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

1. AParacetamol (acetaminophen)
2. BLevothyroxine
3. CAmlodipine
4. DOmeprazole