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?
AContinuous inflammation starting at the rectum
BInflammation limited to the oesophagus
CInflammation of the full thickness of the small bowel
DPatchy inflammation anywhere from mouth to anus
2.Лёгкая
Which factor most increases the risk of Clostridioides difficile infection?
ARegular exercise
BA diet high in fibre
CDrinking bottled water
DRecent antibiotic treatment
3.Лёгкая
Which finding describes a category 1 pressure ulcer?
AA shallow open wound with a red-pink base and no slough
BA wound covered with thick black eschar
CAn open wound with visible bone at the base
DIntact skin with redness that does not blanch
4.Средняя
Which neutrophil count indicates severe neutropenia?
AAbove 2,0 × 109/L
BAbove 10 × 109/L
CBelow 7,5 × 109/L
DBelow 0,5 × 109/L
5.Средняя
Why is the Lund and Browder chart preferred to the rule of nines for children?
AIt is faster to use than any other method of estimation
BIt is used only for burns of the hands
CIt adjusts for body proportions that change with age
DIt counts superficial burns as well
6.Средняя
How should a patient with facial burns usually be positioned?
ALying face down on the pillow to protect the airway
BWith the head of the bed raised to reduce swelling
CLying flat with the head lower than the feet
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?
AEscalate urgently and start the sepsis pathway
BGive paracetamol and recheck in four hours
CRecord the observations and continue routine care
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?
AGive the medicines only and save the feed for later
BPush the tube back to the original mark and start the feed
CDo not use the tube until its position is confirmed by policy
DStart the feed at a slow rate and watch for coughing
Ответы
1. A · Continuous inflammation starting at the rectum
2. D · Recent antibiotic treatment
3. D · Intact skin with redness that does not blanch
4. D · Below 0,5 × 109/L
5. C · It adjusts for body proportions that change with age
6. B · With the head of the bed raised to reduce swelling
7. A · Escalate urgently and start the sepsis pathway
8. C · Do not use the tube until its position is confirmed by policy
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