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

Where are venous leg ulcers usually found?

1. AOn the sole of the foot under the heel
2. BOn the tips of the toes and between the toes
3. COn the front of the thigh
4. DAround the inner ankle, in the gaiter area

Perché in un paziente neutropenico si evitano temperatura rettale e supposte?

1. APossono danneggiare la mucosa e far passare batteri nel sangue
2. BDanno sempre letture della temperatura falsamente basse
3. CFanno calare ancora di più la conta dei globuli bianchi del paziente
4. DInterferiscono con l'assorbimento della chemioterapia

Where should a diathermy return electrode (plate) be placed?

1. AOver a metal joint replacement
2. BOver a bony area such as the hip bone
3. COn skin covered with spirit-based prep that is still wet
4. DOn clean, dry skin over a well-perfused muscle

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AScreening for tuberculosis
2. BA test of colour vision
3. CA test for coeliac disease
4. DA bone density scan

How is an uncomplicated sigmoid volvulus often first treated?

1. ADecompression with a flexible sigmoidoscope and flatus tube
2. BA barium meal given by mouth to untwist the bowel slowly
3. CEating a large high-fibre meal
4. DHigh-dose laxatives taken by mouth

Which advice helps a patient with haemorrhoids?

1. ATake a codeine-based painkiller every day
2. BEat less fibre so that stools are smaller
3. CEat more fibre, drink enough fluid and avoid straining
4. DSit on the toilet for long periods to empty fully

Un paziente con occlusione intestinale sviluppa un dolore costante e intenso (non più colico), febbre, frequenza cardiaca 120/min e addome rigido e dolente. Che cosa suggerisce?

1. AStrozzamento o perforazione che richiedono una valutazione chirurgica urgente
2. BUn decorso normale che richiede solo una semplice analgesia regolare
3. CStitichezza da trattare con un lassativo stimolante
4. DL'occlusione si sta risolvendo perché l'intestino ricomincia a muoversi

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has a temperature of 38,9 °C, a rigid abdomen and a pulse of 118/min. What does this suggest?

1. AThe appendicitis has settled by itself
2. BA side effect of the analgesia given
3. CSimple constipation that needs a laxative
4. DPerforation with peritonitis