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

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1.Лёгкая

Which feature is typical of ulcerative colitis?

  1. AContinuous inflammation starting at the rectum
  2. BInflammation limited to the oesophagus
  3. CInflammation of the full thickness of the small bowel
  4. DPatchy inflammation anywhere from mouth to anus
2.Лёгкая

Which factor most increases the risk of Clostridioides difficile infection?

  1. ARegular exercise
  2. BA diet high in fibre
  3. CDrinking bottled water
  4. DRecent antibiotic treatment
3.Лёгкая

Which finding describes a category 1 pressure ulcer?

  1. AA shallow open wound with a red-pink base and no slough
  2. BA wound covered with thick black eschar
  3. CAn open wound with visible bone at the base
  4. DIntact skin with redness that does not blanch
4.Средняя

Which neutrophil count indicates severe neutropenia?

  1. AAbove 2,0 × 109/L
  2. BAbove 10 × 109/L
  3. CBelow 7,5 × 109/L
  4. DBelow 0,5 × 109/L
5.Средняя

Why is the Lund and Browder chart preferred to the rule of nines for children?

  1. AIt is faster to use than any other method of estimation
  2. BIt is used only for burns of the hands
  3. CIt adjusts for body proportions that change with age
  4. DIt counts superficial burns as well
6.Средняя

How should a patient with facial burns usually be positioned?

  1. ALying face down on the pillow to protect the airway
  2. BWith the head of the bed raised to reduce swelling
  3. CLying flat with the head lower than the feet
  4. DIn any position that keeps the face covered
7.Сложная

On day 3 after surgery, a patient has a temperature of 38,6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

  1. AEscalate urgently and start the sepsis pathway
  2. BGive paracetamol and recheck in four hours
  3. CRecord the observations and continue routine care
  4. DEncourage oral fluids and wait for the doctor's round
8.Сложная

After a coughing fit, the external mark on a patient's nasogastric tube has moved 10 cm. Feed is due. What should the nurse do?

  1. AGive the medicines only and save the feed for later
  2. BPush the tube back to the original mark and start the feed
  3. CDo not use the tube until its position is confirmed by policy
  4. DStart the feed at a slow rate and watch for coughing

Ответы

  1. 1. A · Continuous inflammation starting at the rectum
  2. 2. D · Recent antibiotic treatment
  3. 3. D · Intact skin with redness that does not blanch
  4. 4. D · Below 0,5 × 109/L
  5. 5. C · It adjusts for body proportions that change with age
  6. 6. B · With the head of the bed raised to reduce swelling
  7. 7. A · Escalate urgently and start the sepsis pathway
  8. 8. C · Do not use the tube until its position is confirmed by policy

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