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

घाव भरने के लिए कौन-सा पोषक तत्व विशेष रूप से महत्वपूर्ण है?

1. Aनमक
2. Bप्रोटीन
3. Cकैफ़ीन
4. Dशराब

What does the ASA physical status classification describe?

1. AThe patient's general health before anaesthesia
2. BThe type of anaesthetic drug the surgeon prefers
3. CThe patient's pain score after surgery
4. DThe exact length of the planned operation

What is an autograft in burn care?

1. ASkin taken from a pig or other animal
2. BSkin taken from a donor who has died
3. CSkin taken from another part of the patient's own body
4. DA synthetic dressing made in a laboratory from collagen

Which finding means a patient is usually ready to leave recovery for the ward?

1. ASystolic BP falling steadily over the last hour, with a rising pulse rate
2. BStill drowsy and needing a jaw thrust to breathe
3. CPain score 9/10 and vomiting repeatedly
4. DAwake, with a clear airway, stable observations and controlled pain

Why is it important to prevent perioperative hypothermia?

1. AIt lowers the risk of pain after surgery
2. BIt makes patients wake up from the anaesthetic too quickly
3. CIt increases bleeding, wound infection and heart complications
4. DIt reduces the amount of anaesthetic needed, which is unsafe

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo raise the blood pressure during the anaesthetic
2. BTo make the bowels open before the operation
3. CTo replace the need for any IV fluids afterwards
4. DTo reduce insulin resistance and improve recovery

A patient with diabetes has rapidly spreading redness around a small wound, severe pain out of proportion, fever and crackling under the skin. What should the nurse suspect?

1. AA simple insect bite
2. BMild contact dermatitis
3. CA healing venous ulcer
4. DNecrotising fasciitis

An 80-year-old has a fluid balance 3 L positive two days after surgery. They are now breathless, with crackles at both lung bases and swollen ankles. What should the nurse do?

1. ALie the patient flat with the legs raised
2. BIncrease the IV fluid rate to improve kidney flow
3. CStop the IV fluids, sit the patient up and escalate
4. DEncourage the patient to drink more fluids