정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What is a spinal anaesthetic?

1. AA general anaesthetic gas breathed through a mask
2. BA sedative tablet taken the night before
3. CLocal anaesthetic cream rubbed on the skin
4. DLocal anaesthetic injected into the CSF in the lower back

Why does a low serum albumin contribute to oedema?

1. AIt lowers oncotic pressure, so fluid leaks into tissues
2. BIt blocks the lymph vessels in the abdomen
3. CIt causes the heart to pump more blood into the legs
4. DIt raises blood pressure and pushes fluid into the kidneys

봉합사로 닫은 깨끗한 수술 절개창의 치유 유형은?

1. A이차 치유
2. B일차 치유
3. C지연 치유
4. D삼차 치유

종양 용해 증후군이란?

1. A항암제 주입에 대한 알레르기 반응
2. B최근 방사선 치료를 받은 부위의 피부 반응
3. C신경을 누르는 서서히 자라는 종양
4. D암세포가 빠르게 파괴되어 생기는 대사성 응급

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe wound is colonised; antibiotics are not usually needed
2. BThe wound must be closed with sutures again
3. CThe swab result means the wound is infected
4. DThe patient needs IV antibiotics straight away, whatever the wound looks like

Why are patients with diabetes often placed early on the operating list?

1. ABecause their surgery always takes longer than others
2. BBecause they need to go home before midday
3. CBecause their wounds heal faster in the morning
4. DTo shorten fasting and reduce swings in blood glucose

On day 5 after hip surgery, a patient suddenly becomes breathless, with sharp chest pain on breathing in, a pulse of 120/min and SpO₂ 89%. What should the nurse suspect and do first?

1. AWound infection; take a wound swab and wait for results
2. BAnxiety; give reassurance and repeat the observations in an hour's time
3. CSimple atelectasis; encourage walking around the ward
4. DPulmonary embolism; sit up, give oxygen and call for urgent help

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39.1 °C. What should the nurse suspect and do?

1. ALine infection; escalate and take blood cultures
2. BLow blood glucose; give a sugary drink
3. CFluid overload; reduce the infusion rate only
4. DA normal reaction; give paracetamol and continue the infusion