정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What is referred pain?

1. APain that is passed on from one doctor to another
2. BPain felt at a site away from the organ causing it
3. CPain that only lasts for a few seconds
4. DPain that a patient makes up

Which lifestyle advice helps reduce night-time reflux symptoms?

1. ANo food for 3 hours before bed, with the head of the bed raised
2. BSleep flat on several pillows placed under the knees
3. CHave the largest meal of the day just before going to bed to aid sleep
4. DDrink a large glass of fizzy water before lying down

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

1. ASign Out
2. BHandover
3. CSign In
4. DTime Out

What is anticipatory nausea in chemotherapy?

1. ANausea caused only by the smell of food
2. BNausea triggered by reminders of treatment before it is given
3. CNausea that starts about a week after each cycle and lasts for days
4. DNausea caused by low blood glucose

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

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

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AA raised serum lipase three times the upper limit
2. BFree air under the diaphragm on an erect chest X-ray
3. CTall, peaked T waves on a 12-lead ECG
4. DFluid levels in the bladder on an ultrasound scan

만성 통증으로 장기간 아편유사제를 복용하는 환자가 수술을 위해 입원했습니다. 올바른 설명은?

1. A내성 때문에 평소 아편유사제를 계속하고 추가 진통을 한다
2. B수술이 끝난 후에는 파라세타몰만 받아야 한다
3. C중독을 막기 위해 입원 시 모든 아편유사제를 중단해야 한다
4. D아편유사제 미사용 환자보다 수술 후 아편유사제 용량이 더 낮게 필요하다