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

Where is biliary colic typically felt?

1. AIn the right upper abdomen, often after a fatty meal
2. BIn the lower back, after lifting something heavy
3. CIn the left lower abdomen, after passing stool
4. DIn the groin, after standing for a long time

Which feature is typical of an arterial leg ulcer?

1. AA painless wound on the shin with normal pulses
2. BA painful, punched-out wound on a cold, pale foot
3. CA blister on the heel with plenty of hair growth
4. DA shallow, wet wound around the ankle with warm, swollen skin

हीमाटोकीज़िया क्या है?

1. Aचमकीले लाल, रक्त मिले बलगम की खाँसी
2. Bताज़े लाल रक्त की उल्टी
3. Cकाला, तारकोल जैसा, बदबूदार मल
4. Dमलाशय से ताज़ा लाल रक्त का निकलना

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AOral calcium tablets and vitamin D
2. BIV fluids followed by an IV bisphosphonate
3. CFluid restriction and a thiazide diuretic
4. DA high-calcium diet with extra milk

How is an uncomplicated sigmoid volvulus often first treated?

1. AA barium meal given by mouth to untwist the bowel slowly
2. BHigh-dose laxatives taken by mouth
3. CEating a large high-fibre meal
4. DDecompression with a flexible sigmoidoscope and flatus tube

हल्के तीव्र पैंक्रियाटाइटिस में भोजन के बारे में कौन-सा कथन वर्तमान मार्गदर्शन के अनुरूप है?

1. Aअग्न्याशय को आराम देने के लिए मरीज़ों को कम से कम तीन सप्ताह मुँह से कुछ नहीं लेना चाहिए
2. Bएमाइलेज़ सामान्य होने तक भोजन रोका जाता है
3. Cदर्द और मतली अनुमति दें तो मुँह से भोजन जल्दी फिर शुरू किया जा सकता है
4. Dमरीज़ों को केवल पैरेंटरल पोषण से खिलाया जाना चाहिए

After surgery, a patient says they have "no pain" but grimaces, breathes shallowly and refuses to move or cough. What should the nurse do?

1. AAccept the statement and record a pain score of 0
2. BInsist they walk without any analgesia
3. CTell the patient firmly that they must stop hiding their pain from staff
4. DExplore their beliefs and explain how analgesia aids recovery

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

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