Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan

What is atelectasis?

1. ACollapse of small air sacs in part of the lung
2. BInfection of the surgical wound
3. CA blood clot in a leg vein
4. DSwelling of both ankles caused by lying in bed after surgery

Apakah itu “nadir” dalam kemoterapi?

1. AMasa apabila kiraan darah paling rendah selepas satu kitaran
2. BHari pertama kitaran kemoterapi yang baharu
3. CHari terakhir kursus radioterapi
4. DMasa apabila kiraan darah paling tinggi selepas satu kitaran

Which is a main benefit of early mobilisation after surgery?

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

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AIt needs an X-ray machine at the bedside
2. BThe test is far too painful for most patients to tolerate
3. CAir can be heard even when the tube is in the lung
4. DThe air always makes the tube block

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo check that the patient is still hungry
2. BTo stop the inner bumper becoming buried in the stomach wall
3. CTo make the tube longer as the patient grows or gains weight
4. DTo remove any feed left in the stomach

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA test of colour vision
2. BA bone density scan
3. CScreening for tuberculosis
4. DA test for coeliac disease

A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?

1. A"I'll rub the area afterwards to spread the medicine."
2. B"I'll put the used syringe in the sharps bin."
3. C"I'll report any unusual bruising or bleeding."
4. D"I'll change the injection site each day."

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with cirrhosis who is newly confused and drowsy
2. BA patient with GORD who wants an antacid
3. CA patient with stable ulcerative colitis asking about diet
4. DA patient with an ileostomy waiting to change the pouch