Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden

Which feature is typical of Crohn's disease?

1. AIt affects only the stomach lining and causes ulcers there
2. BIt affects only the rectum and colon, in one continuous stretch
3. CIt can affect any part of the gut, with normal bowel in between
4. DIt affects only the liver and bile ducts

What is a carcinoma?

1. AA cancer arising from bone or muscle
2. BA cancer arising from epithelial cells
3. CA benign growth of fatty tissue
4. DA cancer of white blood cells

Which features are typical of a superficial partial-thickness burn?

1. ADry, white, leathery skin with no pain
2. BBlisters, a moist pink base and severe pain
3. CRedness only, with no blisters, like sunburn
4. DCharred skin with exposed muscle and bone

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

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

Which is a recognised risk of long-term proton pump inhibitor use?

1. AHyperkalaemia
2. BHypernatraemia
3. CHypomagnesaemia
4. DHypercalcaemia

In the UK National Early Warning Score (NEWS2), what does an aggregate score of 5 or more usually trigger?

1. ARoutine observations once every 12 hours, with no other change in care
2. BDischarge planning for the next day
3. CAn urgent review by a clinician skilled in acute illness
4. DNo change unless the patient complains

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

1. ADiarrhoea from stopping the feed suddenly
2. BHypoglycaemia if insulin continues without the feed
3. CHyperglycaemia because the stomach is empty
4. DRefeeding syndrome from too much glucose

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AItching with bananas, avocado and kiwi, and many operations
2. BHay fever every spring since childhood
3. CFeeling sick after eating shellfish once
4. DA rash after taking amoxicillin as a child, with a family history of asthma