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

What is an escharotomy?

1. ARemoval of the whole limb after a deep, extensive burn
2. BA cut through burned, tight skin to relieve pressure
3. CPlacing a skin graft on a burn
4. DDraining a blister with a needle

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AOccasional wind and rumbling after eating a meal of beans
2. BA lasting change in bowel habit with rectal bleeding
3. COne episode of loose stools after a takeaway meal
4. DMild bloating before a period

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ASo pulse oximetry readings and nail colour can be assessed accurately
2. BBecause it is a checklist rule with no clinical reason
3. CBecause the varnish can make the anaesthetic gas less effective
4. DBecause varnish raises the patient's blood pressure

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AGas used during surgery irritating the diaphragm
2. BA heart attack during the operation
3. CAn allergy to the dressing on the wound
4. DA dislocated shoulder from patient positioning

How should pancreatic enzyme replacement capsules usually be taken?

1. AOnly on days with abdominal pain
2. BOnce a day at bedtime
3. CWith every meal and snack
4. DOne hour after meals, on an empty stomach

How are skin staples usually removed from a healed incision?

1. AOnly the staples at each end, leaving the others for good
2. BThe staples are left in permanently under the skin
3. CAlternate staples first, then the rest if the wound holds
4. DAll staples at once by pulling each one straight up from the skin

दीर्घकालिक गुर्दा रोग वाले 74 वर्षीय मरीज़ को सर्जरी के बाद तीव्र दर्द है। ओपिऑइड से जुड़ा कौन-सा मुद्दा सबसे महत्वपूर्ण है?

1. Aवृद्धों में दर्द चाहे जैसा हो, ओपिऑइड कभी उपयोग नहीं करने चाहिए
2. Bगुर्दा विफलता में मॉर्फ़ीन सबसे सुरक्षित ओपिऑइड है, इसलिए खुराक खुलकर बढ़ाई जा सकती है
3. Cमॉर्फ़ीन के मेटाबोलाइट जमा होते हैं, इसलिए कम खुराक या अन्य ओपिऑइड की आवश्यकता हो सकती है
4. Dगुर्दा कार्य का ओपिऑइड के संसाधन पर कोई प्रभाव नहीं पड़ता

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

1. AAcute appendicitis
2. BPost-ERCP pancreatitis
3. CHepatitis B infection
4. DBiliary colic from a new stone