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

What is an escharotomy?

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

Which sign suggests acute cholecystitis?

1. AA flapping tremor of the hands when the arms are held out
2. BBruising around the umbilicus and over both flanks of the abdomen
3. CPain that stops a deep breath when the right upper abdomen is pressed
4. DPain in the left lower abdomen when the right side is pressed

What is the first aid for a dry chemical powder on the skin?

1. ACover it with a tight dressing and wait
2. BAdd vinegar to neutralise it at once
3. CBrush off the powder, then irrigate with plenty of water
4. DRub it in with a wet cloth to spread it thinly over the skin

Which lifestyle change most improves the course of Crohn's disease?

1. AStopping smoking
2. BAvoiding all exercise
3. CDrinking more coffee
4. DEating more red meat

तीव्र ऊपरी जठरांत्र रक्तस्राव वाले मरीज़ का आगमन पर हीमोग्लोबिन सामान्य है। यह भ्रामक क्यों हो सकता है?

1. Aहीमोग्लोबिन पूरे एक सप्ताह लगातार रक्तस्राव के बाद ही गिरता है
2. Bयह द्रव के स्थानांतरण या IV द्रवों से रक्त के तनु होने के बाद ही गिरता है
3. Cआंत से रक्तस्राव का हीमोग्लोबिन पर कोई असर नहीं होता
4. Dकिसी भी रक्त हानि के बाद हीमोग्लोबिन शुरू में हमेशा बढ़ता है

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AItching
2. BIncreased hunger
3. CHair growth
4. DRinging in the ears

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AProceed with the usual checklist and say nothing
2. BInform the surgical and anaesthetic teams, who will check the INR
3. CGive a double dose of vitamin K by mouth without waiting for a prescription
4. DTell her the surgery must be cancelled for a month

A patient with a toe ulcer says the leg pain is worse at night and eases when they hang the leg over the side of the bed. What does this suggest?

1. AVenous insufficiency
2. BArterial insufficiency
3. CNeuropathic itching
4. DLymphoedema