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

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

1. AHandover
2. BSign In
3. CTime Out
4. DSign Out

Чем отделяемое илеостомы обычно отличается от отделяемого сигмостомы?

1. AОбе выделяют только газы и слизь
2. BОтделяемое илеостомы оформленное; колостомы — жидкое
3. CОтделяемое илеостомы жидкое; колостомы — оформленное
4. DОбе выделяют оформленный стул раз в день

What is the main purpose of a biopsy when cancer is suspected?

1. ATo give chemotherapy directly into the tumour
2. BTo remove all the cancer at once
3. CTo measure the patient's blood count
4. DTo confirm the diagnosis by examining tissue

Что такое синдром лизиса опухоли?

1. AАллергическая реакция на инфузию химиотерапии
2. BКожная реакция в области недавней лучевой терапии
3. CМедленно растущая опухоль, давящая на нервы
4. DМетаболическая неотложность из-за быстрого распада раковых клеток

After a spinal anaesthetic, which nursing check is particularly important?

1. APeak flow before and after each meal
2. BReturn of leg sensation and movement, and passing urine
3. CPupil reaction every five minutes for the next full day
4. DBlood glucose every 15 minutes overnight

When breaking bad news, what is the first step in frameworks such as SPIKES?

1. AAsk the family to decide what the patient should be told
2. BGive all treatment options before checking understanding
3. CGive the diagnosis as quickly as possible in the corridor
4. DSet up a private setting with enough time

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

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

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AGive paracetamol before surgery to prevent fever
2. BInform the anaesthetist, as malignant hyperthermia may run in the family
3. CRecord it as a family allergy to paracetamol
4. DReassure the patient that fevers after anaesthesia are always harmless