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

How does the pain of acute appendicitis typically progress?

1. AIt starts in the right shoulder, then moves to the chest
2. BIt stays in the upper abdomen and eases after meals
3. CIt starts in the left lower abdomen, then spreads to the back
4. DIt starts around the umbilicus, then moves to the right lower abdomen

What is diverticulosis?

1. AA tumour growing inside the rectum
2. BSmall pouches in the wall of the colon
3. CA twist of the sigmoid colon on itself
4. DInflammation of the whole small bowel wall

Which statement about hepatitis C is correct?

1. AIt is spread mainly by food, and a vaccine is given to babies
2. BIt always clears by itself within two weeks
3. CIt can be treated only with a liver transplant
4. DIt is spread mainly through blood, and there is no vaccine

How is an uncomplicated sigmoid volvulus often first treated?

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

Which check is routinely made for a patient with a burn wound?

1. ATetanus immunisation status
2. BMeasles vaccination status
3. CBlood group of the next of kin
4. DVisual acuity in both eyes

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ADouble the dose for a week so the blood is ready for surgery
2. BTake the usual dose on the morning of surgery
3. CStop it about 5 days before and check the INR
4. DSwap to aspirin on the morning of surgery

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

1. ALevothyroxine
2. BAmlodipine
3. COmeprazole
4. DParacetamol (acetaminophen)

Un paziente salvato da un incendio domestico ha SpO₂ 99% in aria ambiente ma cefalea, confusione e labbra rosso ciliegia. Che cosa deve fare l'infermiere?

1. ATrattare la cefalea con paracetamolo e osservare il paziente durante la notte
2. BSomministrare ossigeno a 2 L/min con cannula nasale e ricontrollare dopo un'ora
3. CTogliere l'ossigeno, perché la saturazione di ossigeno è del tutto normale
4. DSomministrare ossigeno al 100% con maschera senza reinalazione e richiedere il livello di carbossiemoglobina