정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What is dumping syndrome after gastric surgery?

1. ARapid passage of food from the stomach into the small bowel
2. BReflux of bowel contents back into the oesophagus
3. CSlow emptying of the stomach causing food to stay for days
4. DLeakage of bile from the liver into the abdominal cavity

What is slough in a wound?

1. ARed, healthy granulation tissue
2. BPink, new skin at the wound edge
3. CYellow, soft, stringy dead tissue
4. DA thick, hard black crust

What is the first aid for a dry chemical powder on the skin?

1. AAdd vinegar to neutralise it at once
2. BRub it in with a wet cloth to spread it thinly over the skin
3. CCover it with a tight dressing and wait
4. DBrush off the powder, then irrigate with plenty of water

마비성 장폐쇄(paralytic ileus)란?

1. A종양에 의한 장관 내강의 폐색
2. B물리적 폐색 없이 장운동이 소실된 상태
3. C혈액 공급을 차단하는 대장의 꼬임
4. D발열을 동반한 장벽의 감염

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo stop the inner bumper becoming buried in the stomach wall
2. BTo check that the patient is still hungry
3. CTo make the tube longer as the patient grows or gains weight
4. DTo remove any feed left in the stomach

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. ADamage to the heart muscle
2. BLoss of the sense of smell
3. CPermanent high blood glucose
4. DExcess growth of body hair

A patient with a PICC line develops swelling and aching of the same arm and prominent veins on the chest. What should the nurse suspect?

1. AAn allergy to the dressing
2. BLymphoedema from a previous operation
3. CA catheter-related deep vein thrombosis
4. DNormal swelling after line insertion

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