정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

Which symptom is typical of haemorrhoids?

1. ABright red blood on the paper after opening the bowels
2. BBlack, tarry stools with a strong smell
3. CYellow skin, dark urine and pale stools that float in the toilet
4. DVomiting of dark, coffee-ground material

호중구감소증 환자에서 감염을 줄이는 데 가장 중요한 예방 조치는?

1. A하루 종일 커튼을 닫아 두기
2. B모든 사람의 엄격한 손 위생
3. C모든 방문객에게 항생제 투여
4. D환자를 침대에 머물게 하기

복수(ascites)란?

1. A복막강 내의 체액
2. B양쪽 발목의 부종
3. C막힌 총담관
4. D폐 주위 흉막강의 체액

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

1. AA side effect of the antibiotic
2. BMigraine caused by hospital lighting
3. CPost-dural puncture headache
4. DRaised blood pressure from pain

Which patient is at highest risk of refeeding syndrome?

1. AAn underweight patient who has eaten very little for 10 days
2. BA healthy adult after an overnight fast for minor surgery
3. CA patient who missed one lunch because of a scan
4. DA patient with a normal BMI eating three meals a day

Which finding means a patient is usually ready to leave recovery for the ward?

1. APain score 9/10 and vomiting repeatedly
2. BStill drowsy and needing a jaw thrust to breathe
3. CAwake, with a clear airway, stable observations and controlled pain
4. DSystolic BP falling steadily over the last hour, with a rising pulse rate

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient is exaggerating, so the pain scores should be ignored for now
2. BPain may be undertreated; reassess and ask for a review of the plan
3. CThe patient is addicted and should have analgesia withheld
4. DThe patient needs only distraction and no change in drugs

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

1. A중독을 막기 위해 입원 시 모든 아편유사제를 중단해야 한다
2. B아편유사제 미사용 환자보다 수술 후 아편유사제 용량이 더 낮게 필요하다
3. C내성 때문에 평소 아편유사제를 계속하고 추가 진통을 한다
4. D수술이 끝난 후에는 파라세타몰만 받아야 한다