정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo keep it clear and stop drugs mixing with feed
2. BTo check that the patient is not thirsty
3. CTo clean the stomach before the next meal
4. DTo warm the tube so it is more comfortable

Which sign suggests acute cholecystitis?

1. AA flapping tremor of the hands when the arms are held out
2. BPain in the left lower abdomen when the right side is pressed
3. CPain that stops a deep breath when the right upper abdomen is pressed
4. DBruising around the umbilicus and over both flanks of the abdomen

호중구감소증 환자에서 직장 체온 측정과 좌약을 피하는 이유는?

1. A항상 체온을 잘못 낮게 측정하기 때문
2. B점막을 손상시켜 세균이 혈액으로 들어가게 할 수 있기 때문
3. C환자의 백혈구 수를 더 떨어뜨리기 때문
4. D항암제의 흡수를 방해하기 때문

Which statement about moist wound healing is correct?

1. AWounds heal fastest when left to dry out and form a scab
2. BA wet wound bed always prevents infection
3. CA moist, not wet, wound bed helps cells move and heal faster
4. DWounds should be soaked in water for hours every day

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat the patient's blood glucose is above normal
2. BThat swallowing and the gag reflex have returned
3. CThat bowel sounds are present in all four quadrants
4. DThat the patient has passed urine since the procedure

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AIntrinsic factor from the stomach is no longer made
2. BVitamin B₁₂ is lost in the urine after the surgery
3. CThe small bowel stops absorbing all nutrients
4. DThe liver can no longer store any vitamins

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. APotassium 6.0 mmol/L
2. BPotassium 4.2 mmol/L
3. CSodium 138 mmol/L
4. DSodium 141 mmol/L

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

1. AIt makes the patient's potassium dangerously high
2. BIt interacts with all general anaesthetic gases and stops them working
3. CIt raises the risk of ketoacidosis, even with near-normal glucose
4. DIt causes the surgical wound to bleed more