Терапия и хирургия: ЖКТ, периоперационный период и онкология: лист заданий с ответами

What is healing by secondary intention?

1. AA wound left open that heals from the base upwards
2. BA wound closed a few days after it was left open
3. CA wound closed with sutures straight after surgery
4. DA wound that heals without any new tissue

Which sign is typical of hepatic encephalopathy?

1. AA stiff neck with sensitivity to light
2. BA drooping eyelid on one side
3. CA flapping tremor of the outstretched hands
4. DA fine rash over the chest and arms

Where should a diathermy return electrode (plate) be placed?

1. AOver a bony area such as the hip bone
2. BOn skin covered with spirit-based prep that is still wet
3. COver a metal joint replacement
4. DOn clean, dry skin over a well-perfused muscle

How is the height of an epidural sensory block usually checked?

1. ATesting sensation to cold with ice or a cold spray
2. BTapping the knee with a reflex hammer and recording the score
3. CChecking the colour of the patient's urine
4. DMeasuring the patient's blood glucose level

Why are laxatives and enemas avoided when appendicitis is suspected?

1. AThey may increase the risk of perforation
2. BThey make the blood tests impossible to read
3. CThey stop antibiotics from being absorbed
4. DThey always cause the appendix to bleed heavily

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA test of colour vision
2. BScreening for tuberculosis
3. CA bone density scan
4. DA test for coeliac disease

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

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

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