정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

Which factor most increases the risk of Clostridioides difficile infection?

1. AA diet high in fibre
2. BDrinking bottled water
3. CRecent antibiotic treatment
4. DRegular exercise

What should patients usually be told about hair loss from chemotherapy?

1. AIt is always permanent with every drug
2. BIt is usually temporary, and hair grows back afterwards
3. CIt happens with every type of cancer treatment, including surgery
4. DIt means the treatment is not working

When should pain be reassessed after giving analgesia?

1. ANever, as one assessment is enough
2. BWhen the drug is expected to have taken effect
3. COnly if the patient asks for more analgesia
4. DOnly at the next routine observation round the next day

Which is a recognised side effect of ondansetron?

1. ASevere hypoglycaemia
2. BConstipation
3. CHearing loss
4. DHair loss

Which presentation fits acute diverticulitis?

1. APainless jaundice with a palpable gallbladder
2. BRight upper abdominal pain after fatty meals
3. CCentral chest pain spreading to the left arm
4. DLeft lower abdominal pain, fever and a raised CRP

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

1. AAsk the patient to sign quickly before they get sleepier
2. BAsk a relative to sign instead of the patient
3. CTell the surgeon, as the patient may not be able to consent now
4. DSign the form on the patient's behalf as a witness

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

1. AUpper GI bleeding
2. BCrohn's disease of the ileum
3. CAnal fissure
4. DColorectal cancer

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. AHypoglycaemia from the glucose
2. BHyponatraemia from hypotonic fluids
3. CHypernatraemia from too much salt
4. DNormal confusion after any anaesthetic