정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

돌발 통증(breakthrough pain)이란?

1. A진통제 알레르기로만 생기는 통증
2. B규칙적인 기본 진통에도 불구하고 나타나는 통증의 급격한 악화
3. C규칙적인 치료로 완전히 사라진 통증
4. D수술 중에만 느끼는 통증

Which electrolyte typically falls in refeeding syndrome?

1. APhosphate
2. BCalcium
3. CChloride
4. DSodium

WHO 수술 안전 체크리스트의 목적은?

1. A환자가 수술 후 먹고 마시고 싶은 것을 기록하는 것
2. B계획된 수술의 설명 후 동의를 대체하는 것
3. C집도의의 교육과 경험을 나열하는 것
4. D수술 전, 중, 후에 핵심 안전 확인이 이루어지도록 하는 것

Which advice helps prevent dumping syndrome after gastrectomy?

1. AThree large meals a day with plenty of sweet drinks with each meal
2. BA high-sugar diet with fruit juice to keep energy levels up
3. CSit upright and walk briskly straight after every meal
4. DSmall, frequent meals low in simple sugars, with fluids between meals

Which liver function test pattern suggests bile duct obstruction?

1. AHigh bilirubin with a markedly raised ALP and GGT
2. BNormal bilirubin with a low ALP and low GGT
3. CVery high ALT with a normal bilirubin only
4. DA low albumin with all other results normal

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. ANo special measures once antibiotics have started
2. BA single room with its own toilet, and soap-and-water handwashing
3. CA face mask for the patient and visitors only
4. DA shared bay, as long as alcohol gel is used after every contact

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AGive paracetamol before surgery to prevent fever
2. BReassure the patient that fevers after anaesthesia are always harmless
3. CRecord it as a family allergy to paracetamol
4. DInform the anaesthetist, as malignant hyperthermia may run in the family

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

1. AHepatitis B infection
2. BBiliary colic from a new stone
3. CPost-ERCP pancreatitis
4. DAcute appendicitis