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

What is an autograft in burn care?

1. ASkin taken from another part of the patient's own body
2. BSkin taken from a pig or other animal
3. CSkin taken from a donor who has died
4. DA synthetic dressing made in a laboratory from collagen

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

1. AMild bloating before a period
2. BOne episode of loose stools after a takeaway meal
3. CA lasting change in bowel habit with rectal bleeding
4. DOccasional wind and rumbling after eating a meal of beans

Come descrivono tipicamente i pazienti il dolore neuropatico?

1. AUn dolore sordo che peggiora con il movimento
2. BBruciante, lancinante o come scosse elettriche
3. CUn dolore crampiforme che viene a ondate
4. DUn dolore pulsante solo quando l'area viene premuta

Which statement about giving medicines through a feeding tube is correct?

1. AAll tablets can be crushed together and given at once
2. BTubes do not need flushing between medicines
3. CMedicines can be added to the bag of feed
4. DModified-release tablets should not be crushed

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AThe small bowel stops absorbing all nutrients
2. BVitamin B₁₂ is lost in the urine after the surgery
3. CIntrinsic factor from the stomach is no longer made
4. DThe liver can no longer store any vitamins

Quale affermazione sull'analgesia multimodale è corretta?

1. ASi combinano farmaci con azioni diverse per ridurre il fabbisogno di oppioidi
2. BÈ un metodo usato solo per il dolore cronico a lungo termine
3. CSi deve somministrare un solo analgesico alla volta
4. DSi combinano diversi oppioidi per un effetto complessivo più forte

A colleague suggests giving a saline injection to see whether a patient's pain is "real". What is the best response?

1. AIt is a good idea, as long as the patient is not told about it afterwards
2. BIt should be done only for patients with chronic pain
3. CDeceptive placebos are unethical and do not show pain is "fake"
4. DIt is acceptable if a senior nurse gives the saline

An 80 kg adult has 30% TBSA partial- and full-thickness burns. Using the Parkland formula, how much crystalloid is planned for the first 8 hours from the time of the burn?

1. A4800 mL
2. B9600 mL
3. C3200 mL
4. D2400 mL