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

On a numerical rating scale for pain, what do 0 and 10 usually mean?

1. A0 is no pain and 10 is the worst pain imaginable
2. BThe numbers show how many hours the pain has lasted
3. C0 is the worst pain and 10 is no pain at all
4. D0 is mild pain and 10 is moderate pain

Jaki jest cel Chirurgicznej Listy Kontrolnej Bezpieczeństwa WHO?

1. AZapewnienie, że kluczowe kontrole bezpieczeństwa odbędą się przed operacją, w jej trakcie i po niej
2. BWyszczególnienie wyszkolenia i doświadczenia chirurga
3. CZastąpienie świadomej zgody przy planowych operacjach
4. DZapisanie, co pacjent chciałby jeść i pić po operacji

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo divert stool while the join further down heals
2. BTo let the patient eat without chewing
3. CTo remove the whole colon permanently in a single operation
4. DTo drain urine from the kidneys

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. ASteroids must always be stopped a full week before any type of surgery
2. BSteroids make the anaesthetic drugs last much longer
3. CThey may need extra steroid cover to prevent an adrenal crisis
4. DSteroids prevent all wound infections after surgery

Which patient is at highest risk of refeeding syndrome?

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

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

1. APain straight after eating that is worsened by food
2. BPain in the right lower abdomen with fever and vomiting
3. CPain 2–3 hours after meals and at night, eased by eating
4. DPain only on deep breathing that eases when sitting forwards

A patient is splashed in the eye with an alkaline cleaning product. What is the first action?

1. AAsk the patient to rub the eye to clear it
2. BCover the eye with a pad and wait for a doctor to examine it first
3. CAdd a few drops of vinegar to neutralise it
4. DIrrigate the eye at once with large volumes of water or saline

On day 5 after bowel resection, a patient has a fever, tachycardia and worsening abdominal pain, and the drain contains brown, faeculent fluid. What is most likely?

1. APostoperative constipation
2. BAn anastomotic leak
3. CA urinary tract infection
4. DA normal day 5 recovery