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

How does the pain of acute appendicitis typically progress?

1. AIt starts around the umbilicus, then moves to the right lower abdomen
2. BIt starts in the left lower abdomen, then spreads to the back
3. CIt stays in the upper abdomen and eases after meals
4. DIt starts in the right shoulder, then moves to the chest

Pain is usually called chronic when it lasts longer than about how long?

1. AThree hours
2. BThree days
3. CThree weeks
4. DThree months

What is slough in a wound?

1. APink, new skin at the wound edge
2. BRed, healthy granulation tissue
3. CYellow, soft, stringy dead tissue
4. DA thick, hard black crust

Why should antacids usually be taken at a different time from other medicines?

1. AThey stop the kidneys from clearing other drugs
2. BThey can reduce the absorption of many other drugs
3. CThey make all other drugs much more toxic
4. DThey destroy other drugs before they are swallowed

Which advice is appropriate for a patient with a very low platelet count?

1. AFloss hard every day to prevent gum disease
2. BUse a razor blade for shaving every day
3. CUse a soft toothbrush and an electric razor
4. DTake aspirin regularly for headaches

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. Cकिसी भी रक्त हानि के बाद हीमोग्लोबिन शुरू में हमेशा बढ़ता है
4. Dआंत से रक्तस्राव का हीमोग्लोबिन पर कोई असर नहीं होता

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. AHyponatraemia from hypotonic fluids
2. BHypernatraemia from too much salt
3. CNormal confusion after any anaesthetic
4. DHypoglycaemia from the glucose

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

1. AAn arterial ulcer caused by poor circulation
2. BA full-thickness burn
3. CA category 4 pressure ulcer over the sacrum
4. DIncontinence-associated dermatitis