정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

호중구감소증이란?

1. A낮은 호중구 수
2. B낮은 적혈구 수
3. C낮은 혈소판 수
4. D높은 백혈구 수

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, so they must avoid all contact with children and pregnant women
2. BYes, for one month after each session
3. CNo, they are not radioactive and can be with family
4. DOnly their clothes are radioactive afterwards

혈변(hematochezia)이란?

1. A선홍색의 피가 섞인 가래를 기침으로 뱉는 것
2. B검고 타르 같으며 악취가 나는 대변
3. C선홍색 피를 토하는 것
4. D직장에서 나오는 선홍색 피

Which presentation fits acute diverticulitis?

1. ARight upper abdominal pain after fatty meals
2. BCentral chest pain spreading to the left arm
3. CPainless jaundice with a palpable gallbladder
4. DLeft lower abdominal pain, fever and a raised CRP

A dying patient can no longer drink. Which mouth care is most appropriate?

1. AFrequent, gentle moistening of the mouth and lips
2. BNo mouth care, to avoid disturbing the patient
3. CBrushing hard with a stiff toothbrush twice a day
4. DLemon and glycerine swabs every hour to stimulate saliva

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AA metabolite can build up and cause seizures
2. BIt has no pain-relieving effect at all in adults
3. CIt can only be given by mouth
4. DIt always causes severe diarrhoea

빈크리스틴에 적용되는 안전 규칙은?

1. A다른 척수 약물과 함께 보통 척수강 내로 투여한다
2. B작은 정맥에 빠른 정맥 주사로 투여하는 것이 가장 좋다
3. C절대 척수강 내 투여 금지. 정맥 전용 미니백으로 공급한다
4. D처방자가 원하는 어떤 경로로든 투여할 수 있다

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

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