정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ASharp pain in the right shoulder after meals
2. BBurning pain behind the breastbone (heartburn)
3. CCramping pain low in the left side of the abdomen
4. DPainless yellowing of the skin and eyes

급성 췌장염 대부분을 설명하는 두 가지 원인은?

1. A흡연과 비만
2. B고섬유 식이와 탈수
3. C바이러스성 감기와 스트레스
4. D담석과 음주

Why does chemotherapy often affect the bone marrow, gut lining and hair?

1. AThese tissues have no blood supply
2. BThese tissues contain rapidly dividing cells
3. CThese tissues are the main sites of cancer
4. DThese tissues store the chemotherapy drugs

Which rule about the sterile field is correct?

1. AA sterile pack stays sterile even when it is wet
2. BThe area below a gowned person's waist is sterile
3. CIf sterility is in doubt, the item is treated as contaminated
4. DSterile items can be passed across a non-sterile area freely

종양 용해 증후군에 전형적인 전해질 양상은?

1. A낮은 칼륨, 낮은 인산염, 낮은 요산
2. B높은 나트륨과 높은 칼슘, 낮은 요산
3. C낮은 칼륨과 인산염, 높은 칼슘
4. D높은 칼륨, 인산염, 요산과 낮은 칼슘

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. ASteroids make the anaesthetic drugs last much longer
2. BSteroids prevent all wound infections after surgery
3. CSteroids must always be stopped a full week before any type of surgery
4. DThey may need extra steroid cover to prevent an adrenal crisis

An older patient with atrial fibrillation has sudden severe abdominal pain, but the abdomen is soft with little tenderness. Lactate is raised. What should the nurse suspect?

1. AMuscle strain from coughing
2. BAcute mesenteric ischaemia
3. CSimple constipation
4. DIrritable bowel syndrome

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. AEncourage fasting to reduce wound exudate and the size of the dressing
2. BRepeat the score in three months' time
3. CRefer to the dietitian, start a nutrition plan and monitor intake
4. DRestrict protein to help the kidneys