Choroby wewnętrzne i chirurgiczne: przewód pokarmowy, okres okołooperacyjny i onkologia: karta pracy z odpowiedziami

What is an incisional hernia?

1. AA bulge of stomach through the diaphragm
2. BA swelling in the groin present from birth
3. CA bulge through a weakened surgical scar
4. DA pouch in the wall of the colon

Which is a role of the scrub practitioner in theatre?

1. AGiving the anaesthetic drugs to the patient
2. BPreparing and passing sterile instruments
3. CMoving equipment outside the sterile field only
4. DObtaining the patient's surgical consent

Why are patients advised to stop smoking before surgery?

1. AIt lowers the risk of chest and wound complications
2. BIt makes the anaesthetic work for a shorter time
3. CIt is needed so that consent forms are valid
4. DIt stops patients from feeling hungry while fasting

How can low-dose opioids help a patient with breathlessness from advanced cancer?

1. AThey cure the underlying lung disease
2. BThey reduce the feeling of breathlessness
3. CThey open the airways like an inhaler
4. DThey increase the oxygen level in the blood

Which early symptoms suggest local anaesthetic systemic toxicity?

1. ATingling around the mouth, a metallic taste and tinnitus
2. BIncreased hunger and thirst over several hours, with a dry mouth
3. CA red rash only at the injection site, with no other symptoms
4. DMild itching of the feet the next day

Which lung problem is a known toxicity of bleomycin?

1. APulmonary fibrosis
2. BAsthma from pollen
3. CLung cancer within weeks
4. DPneumothorax from coughing

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AReassure the patient that the surgeon knows best
2. BIgnore the comment because the form is already signed
3. CExplain the surgical risks in detail without involving the surgeon
4. DInform the surgeon so that the procedure can be explained again

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. AConsider an alternative; if an NSAID is needed, add a PPI
2. BTake the NSAID with a glass of milk instead of food
3. CUse the highest NSAID dose to shorten the course
4. DCombine two different NSAIDs at lower doses