정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What does "coffee-ground" vomit usually indicate?

1. ABile coming back from an obstructed small bowel
2. BA side effect of drinking strong coffee
3. CBlood that has been partly digested by stomach acid
4. DUndigested food from several days ago

Why are patients advised to stop smoking before surgery?

1. AIt stops patients from feeling hungry while fasting
2. BIt lowers the risk of chest and wound complications
3. CIt makes the anaesthetic work for a shorter time
4. DIt is needed so that consent forms are valid

What does black tissue in a wound bed usually indicate?

1. ANew epithelial cells
2. BHealthy granulation tissue
3. CNormal blood clot from a fresh cut
4. DNecrotic (dead) tissue

Which neutrophil count indicates severe neutropenia?

1. AAbove 2.0 × 10⁹/L
2. BBelow 7.5 × 10⁹/L
3. CBelow 0.5 × 10⁹/L
4. DAbove 10 × 10⁹/L

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe colour of the feeding bag label
2. BThe medicine chart, including laxatives and antibiotics
3. CThe patient's eye drops and skin creams
4. DThe patient's mobility aids and walking distance

Which change suggests that a burn wound is becoming infected?

1. ADry, healing skin with mild itching
2. BA partial-thickness burn becoming deeper, with new discolouration
3. CLess exudate on each dressing change
4. DThe wound becoming pink and a little smaller at each dressing change

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA normal spinal effect
2. BAn anxiety attack
3. CA post-dural puncture headache
4. DA high spinal block

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

1. AA flare of ulcerative colitis
2. BAcute infective gastroenteritis
3. CNormal stool pattern on opioids
4. DFaecal impaction with overflow