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

What is the key difference between a benign and a malignant tumour?

1. AA benign tumour always grows faster than a malignant one
2. BA benign tumour always spreads to the lymph nodes
3. CA malignant tumour invades nearby tissue and can spread
4. DA malignant tumour never needs any treatment

What is diverticulosis?

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

What is a hiatus hernia?

1. APart of the stomach pushing up through the diaphragm
2. BPart of the bowel pushing through the groin into the scrotum
3. CBowel bulging through a weak point in the muscle at the umbilicus
4. DA bulge of bowel through an old surgical scar

Which statement about pain in older adults is correct?

1. AOpioids must never be used in people over 70
2. BThey may under-report pain, so active assessment is needed
3. CPain is a normal part of ageing and does not need any treatment at all
4. DOlder adults feel less pain because nerves wear out

For which stoma can colostomy irrigation be considered?

1. AA new ileostomy in the first week
2. BAny stoma that has liquid or very loose output
3. CAn established descending or sigmoid colostomy
4. DAn ileal conduit draining urine

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe patient's eye drops and skin creams
2. BThe colour of the feeding bag label
3. CThe patient's mobility aids and walking distance
4. DThe medicine chart, including laxatives and antibiotics

On day 3 after admission, a patient with alcohol dependence becomes confused, with hallucinations, sweating, tremor, fever and tachycardia. What is the most likely cause?

1. AHepatitis A caught on the ward
2. BAn allergic reaction to hospital food
3. CDelirium tremens from alcohol withdrawal
4. DNormal anxiety about being in hospital

A bag of parenteral nutrition runs out and the next one will not arrive for several hours. Which risk should the nurse anticipate?

1. ARaised intracranial pressure
2. BSevere hyperkalaemia
3. CRebound hypoglycaemia
4. DAcute urinary retention