정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

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

1. ATime Out
2. BSign Out
3. CHandover
4. DSign In

Which signs suggest early hypovolaemic shock after surgery?

1. AHigh blood pressure with a fast, bounding pulse
2. BNormal pulse with heavy sweating only after meals
3. CSlow heart rate, flushed skin and warm hands
4. DRising heart rate, cool skin and slow capillary refill

봉합사로 닫은 깨끗한 수술 절개창의 치유 유형은?

1. A삼차 치유
2. B일차 치유
3. C지연 치유
4. D이차 치유

Which liver function test pattern suggests bile duct obstruction?

1. AHigh bilirubin with a markedly raised ALP and GGT
2. BNormal bilirubin with a low ALP and low GGT
3. CVery high ALT with a normal bilirubin only
4. DA low albumin with all other results normal

Which advice helps a patient with haemorrhoids?

1. AEat less fibre so that stools are smaller
2. BEat more fibre, drink enough fluid and avoid straining
3. CTake a codeine-based painkiller every day
4. DSit on the toilet for long periods to empty fully

Why are many patients screened for MRSA before planned surgery?

1. ATo decide which anaesthetic drug to use
2. BSo that carriers can be decolonised to reduce infection
3. CSo that surgery can be cancelled for all positive patients
4. DTo check whether the patient has had a flu vaccine

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AGive paracetamol before surgery to prevent fever
2. BReassure the patient that fevers after anaesthesia are always harmless
3. CInform the anaesthetist, as malignant hyperthermia may run in the family
4. DRecord it as a family allergy to paracetamol

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AExplain the surgical risks in detail without involving the surgeon
2. BIgnore the comment because the form is already signed
3. CReassure the patient that the surgeon knows best
4. DInform the surgeon so that the procedure can be explained again