정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

Which is a main benefit of early mobilisation after surgery?

1. ALower risk of chest infection and blood clots
2. BLess need to check the wound at all
3. CIt prevents all postoperative pain
4. DFaster absorption of the anaesthetic gas

How does the pain of acute appendicitis typically progress?

1. AIt starts in the left lower abdomen, then spreads to the back
2. BIt starts in the right shoulder, then moves to the chest
3. CIt stays in the upper abdomen and eases after meals
4. DIt starts around the umbilicus, then moves to the right lower abdomen

What is lymphoedema?

1. AInflammation of the lymph nodes in the neck and armpits from a virus
2. BSwelling from poor lymph drainage, for example after node removal
3. CSwelling from a broken bone in the arm
4. DFluid in the lungs from heart failure

Why is a urinary catheter usually inserted in a patient with a major burn?

1. ABurns always cause the bladder to rupture
2. BIt is needed to give medicines into the bladder
3. CHourly urine output guides fluid resuscitation
4. DThe catheter prevents wound infection

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AOral calcium tablets and vitamin D
2. BIV fluids followed by an IV bisphosphonate
3. CA high-calcium diet with extra milk
4. DFluid restriction and a thiazide diuretic

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AHair growth
2. BIncreased hunger
3. CRinging in the ears
4. DItching

Which new prescription for a patient with cirrhosis should the nurse question?

1. ARegular ibuprofen for back pain
2. BSpironolactone for ascites
3. CThiamine supplements
4. DLactulose to keep the bowels open

A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?

1. AStop it one week before any operation
2. BUsually continue it with a sip of water, unless told otherwise
3. CTake it only after the operation is finished
4. DTake a double dose to protect the heart