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

What is a volvulus?

1. AAn infection of the appendix
2. BA tear in the lining of the anus
3. CA pouch in the wall of the colon that fills with stool
4. DA twist of a loop of bowel around itself

What is an incisional hernia?

1. AA swelling in the groin present from birth
2. BA pouch in the wall of the colon
3. CA bulge of stomach through the diaphragm
4. DA bulge through a weakened surgical scar

What is a PICC line?

1. AA central venous catheter inserted through a vein in the arm
2. BA tube inserted into the stomach through the abdomen
3. CA short cannula in a vein on the back of the hand
4. DA catheter placed in the bladder through the lower abdominal wall

Which statement correctly describes physical dependence on opioids?

1. AThe patient always craves the drug and misuses it despite harm
2. BThe drug no longer has any side effects
3. CWithdrawal occurs if the drug is stopped suddenly
4. DThe patient is allergic to opioids

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. APregnant women cannot sign consent forms
2. BPregnancy always makes surgery impossible
3. CAnaesthesia, drugs and some tests may harm a fetus
4. DIt is needed to calculate the anaesthetic drug dose

Why do patients usually have a dental review before radiotherapy to the head and neck?

1. AIt causes dry mouth and raises the risk of decay and jaw damage
2. BThe dentist gives the radiotherapy
3. CTeeth block the radiation beam completely
4. DRadiotherapy can only be given once all the teeth have been removed

Una paziente con tumore della mammella diventa confusa, assetata e stitica, con poliuria. Quale emergenza oncologica va considerata?

1. AOstruzione della vena cava superiore
2. BSindrome da lisi tumorale
3. CIpercalcemia da neoplasia
4. DIpoglicemia

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

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