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

What is the MUST tool used for?

1. AScreening adults for malnutrition risk
2. BAssessing the risk of falls
3. CMeasuring pain in confused patients
4. DScoring the severity of a burn injury

Which feature is typical of Crohn's disease?

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

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ACramping pain low in the left side of the abdomen
2. BSharp pain in the right shoulder after meals
3. CPainless yellowing of the skin and eyes
4. DBurning pain behind the breastbone (heartburn)

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. ARegular gentle walking
2. BConstipation
3. CA high fluid intake
4. DA low-salt diet

Which statement about moist wound healing is correct?

1. AA wet wound bed always prevents infection
2. BA moist, not wet, wound bed helps cells move and heal faster
3. CWounds should be soaked in water for hours every day
4. DWounds heal fastest when left to dry out and form a scab

Why are accurate fluid balance charts kept after major surgery?

1. ATo decide which meal the patient will have next
2. BTo detect dehydration, fluid overload or kidney problems early
3. CTo check how far the patient has walked and how often they get out of bed
4. DTo record when visitors come and go

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

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