Scheda di esercizi di Area medico-chirurgica: gastrointestinale, perioperatoria e oncologica con soluzioni

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, so they must avoid all contact with children and pregnant women
2. BNo, they are not radioactive and can be with family
3. CYes, for one month after each session
4. DOnly their clothes are radioactive afterwards

Quali segni suggeriscono un danno da inalazione in un paziente ustionato?

1. AUna vescica a un dito per aver toccato il manico caldo di una padella
2. BUn'ustione a un piede con sensibilità normale
3. CUstioni al viso, peli nasali bruciacchiati, fuliggine e raucedine
4. DScottatura solare sulla schiena dopo una giornata all'aperto

In che cosa di solito l'output di un'ileostomia differisce da quello di una colostomia sigmoidea?

1. AL'output dell'ileostomia è formato; quello della colostomia è liquido
2. BEntrambe producono feci formate una volta al giorno
3. CEntrambe producono solo gas e muco
4. DL'output dell'ileostomia è liquido; quello della colostomia è formato

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. ARinging in the ears
2. BHair growth
3. CIncreased hunger
4. DItching

In the UK National Early Warning Score (NEWS2), what does an aggregate score of 5 or more usually trigger?

1. ANo change unless the patient complains
2. BAn urgent review by a clinician skilled in acute illness
3. CRoutine observations once every 12 hours, with no other change in care
4. DDischarge planning for the next day

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. ASteroids make the anaesthetic drugs last much longer
2. BSteroids must always be stopped a full week before any type of surgery
3. CSteroids prevent all wound infections after surgery
4. DThey may need extra steroid cover to prevent an adrenal crisis

A nurse teaches a carer about overnight tube feeding at home. Which statement shows a need for further teaching?

1. A"I'll check the external length mark on the tube every day."
2. B"I'll flush the tube with water before and after his medicines."
3. C"I'll stop the feed and call if he coughs or struggles to breathe."
4. D"I'll let him lie flat so he sleeps better while the feed runs."

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

1. AHyperglycaemia because the stomach is empty
2. BDiarrhoea from stopping the feed suddenly
3. CHypoglycaemia if insulin continues without the feed
4. DRefeeding syndrome from too much glucose