정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What does black tissue in a wound bed usually indicate?

1. AHealthy granulation tissue
2. BNew epithelial cells
3. CNecrotic (dead) tissue
4. DNormal blood clot from a fresh cut

치유 중인 상처에서 붉고 촉촉하며 오돌토돌해 보이는 조직은?

1. A육아조직
2. B마른 가피(eschar)
3. C괴사 조직
4. D노란 부육(slough) 조직

Which three principles reduce staff radiation exposure when caring for a patient with a sealed radiation source?

1. AGloves, gown and mask
2. BHeat, light and humidity
3. CTime, distance and shielding
4. DSpeed, noise and lighting

Why do patients usually have a dental review before radiotherapy to the head and neck?

1. AThe dentist gives the radiotherapy
2. BRadiotherapy can only be given once all the teeth have been removed
3. CTeeth block the radiation beam completely
4. DIt causes dry mouth and raises the risk of decay and jaw damage

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt is faster to use than any other method of estimation
2. BIt counts superficial burns as well
3. CIt adjusts for body proportions that change with age
4. DIt is used only for burns of the hands

Which advice may help reduce the risk of a parastomal hernia after stoma surgery?

1. AKeep the stoma bag as full as possible
2. BAvoid heavy lifting early on and use support garments as advised
3. CStrain hard on the toilet each day to strengthen the abdominal muscles
4. DDo intensive sit-ups from the first week

수술 후 아편유사제 PCA로 호흡 억제가 생길 위험이 가장 높은 환자는?

1. A수면무호흡이 있고 진정제도 복용 중인 아편유사제 미사용 고령 환자
2. B통증 점수가 8/10이며 완전히 깨어 있고 명료한 환자
3. C다른 의학적 문제가 없고 파라세타몰을 받는 환자
4. D수개월 동안 규칙적으로 아편유사제를 써 온 젊은 환자

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AVitamin B₁₂ deficiency; give an injection now
2. BAn anastomotic leak; insert a nasogastric tube at once
3. CEarly dumping from fluid shifts; give a large drink of water
4. DLate dumping with low blood glucose; check capillary glucose