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

What is steatorrhoea?

1. APale, greasy, foul-smelling stools that may float
2. BVery hard, pellet-like stools
3. CBlack stools caused by taking iron tablets each day
4. DBright red blood mixed in with the stool on most days

Which statement about hepatitis C is correct?

1. AIt can be treated only with a liver transplant
2. BIt is spread mainly through blood, and there is no vaccine
3. CIt is spread mainly by food, and a vaccine is given to babies
4. DIt always clears by itself within two weeks

Why does chemotherapy often affect the bone marrow, gut lining and hair?

1. AThese tissues store the chemotherapy drugs
2. BThese tissues have no blood supply
3. CThese tissues contain rapidly dividing cells
4. DThese tissues are the main sites of cancer

Which drug class is used to reduce the risk of a first variceal bleed in cirrhosis?

1. AThiazide diuretics
2. BProton pump inhibitors
3. CNon-selective beta-blockers
4. DCalcium supplements

When is cold therapy most useful for pain?

1. ASoon after an acute soft tissue injury, to reduce swelling
2. BOver numb areas where sensation is lost
3. CFor long-term muscle stiffness, applied continuously for several hours
4. DDirectly on skin with poor circulation

Which nursing care helps a new skin graft take?

1. AMassaging the graft firmly several times a day
2. BEncouraging the patient to exercise the area straight away
3. CRemoving the dressing every hour to look at it
4. DKeeping the area still and avoiding shearing forces

Pacjent, któremu dwa miesiące temu wszczepiono stent wieńcowy, przyjmuje kwas acetylosalicylowy i klopidogrel, zgłasza się z smolistymi stolcami i jest obecnie stabilny. Jakie postępowanie wobec leków przeciwpłytkowych jest najodpowiedniejsze?

1. APodwoić obie dawki, ponieważ krwawienie oznacza większe ryzyko zakrzepu w stencie
2. BKontynuować oba leki bez zmian i nie wspominać zespołowi o krwawieniu
3. CZgłosić krwawienie; zespół decyduje z udziałem kardiologa, równoważąc krwawienie i zakrzepicę stentu
4. DOdstawić oba leki na stałe, ponieważ każde krwawienie oznacza, że nie są już bezpieczne

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