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

What is brachytherapy?

1. ARadiotherapy from a sealed source placed in or next to the tumour
2. BRadiotherapy given by a machine from outside the body
3. CChemotherapy given slowly into a vein over several hours each day
4. DSurgery to remove a tumour through a small incision

What is healing by secondary intention?

1. AA wound that heals without any new tissue
2. BA wound left open that heals from the base upwards
3. CA wound closed with sutures straight after surgery
4. DA wound closed a few days after it was left open

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo drain urine from the kidneys
2. BTo divert stool while the join further down heals
3. CTo remove the whole colon permanently in a single operation
4. DTo let the patient eat without chewing

Which advice has good evidence for reducing cancer-related fatigue?

1. ADrinking several strong coffees every evening
2. BRegular light to moderate activity, such as walking
3. CAvoiding all daily activities
4. DComplete bed rest for the whole course of treatment

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

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

Which change suggests that a burn wound is becoming infected?

1. ADry, healing skin with mild itching
2. BLess exudate on each dressing change
3. CA partial-thickness burn becoming deeper, with new discolouration
4. DThe wound becoming pink and a little smaller at each dressing change

जलन के पुनर्जीवन के दौरान 80 kg वयस्क का मूत्र उत्पादन 2 घंटे तक 15 mL/h है। यह क्या दर्शाता है?

1. Aजलन वाले मरीज़ के लिए सामान्य मूत्र उत्पादन
2. Bद्रव अधिभार; सभी IV द्रव अभी बंद कर देने चाहिए
3. Cअवरुद्ध कैथेटर जिसे बस निकाल देना चाहिए
4. Dअपर्याप्त पुनर्जीवन; द्रव की दर आमतौर पर बढ़ानी पड़ती है

A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?

1. A"I'll keep the emergency number and call if I feel shivery."
2. B"I'll wash my hands often and avoid people with infections."
3. C"If I get a fever, I'll take paracetamol and see if it settles."
4. D"I'll check my temperature whenever I feel hot, shivery or unwell."