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

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AOne episode of loose stools after a takeaway meal
2. BOccasional wind and rumbling after eating a meal of beans
3. CMild bloating before a period
4. DA lasting change in bowel habit with rectal bleeding

Which signs suggest early hypovolaemic shock after surgery?

1. ANormal pulse with heavy sweating only after meals
2. BRising heart rate, cool skin and slow capillary refill
3. CHigh blood pressure with a fast, bounding pulse
4. DSlow heart rate, flushed skin and warm hands

What is an autograft in burn care?

1. AA synthetic dressing made in a laboratory from collagen
2. BSkin taken from another part of the patient's own body
3. CSkin taken from a pig or other animal
4. DSkin taken from a donor who has died

When is cold therapy most useful for pain?

1. AFor long-term muscle stiffness, applied continuously for several hours
2. BSoon after an acute soft tissue injury, to reduce swelling
3. CDirectly on skin with poor circulation
4. DOver numb areas where sensation is lost

Какое нарушение электролитов может возникнуть при тяжёлом остром панкреатите?

1. AГиперкальциемия
2. BГиперкалиемия
3. CГипернатриемия
4. DГипокальциемия

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. ANo special measures once antibiotics have started
2. BA shared bay, as long as alcohol gel is used after every contact
3. CA face mask for the patient and visitors only
4. DA single room with its own toilet, and soap-and-water handwashing

У пациента с известным варикозным расширением вен пищевода обильная рвота свежей кровью. Какого лечения должна ожидать медсестра до эндоскопии?

1. AБыстрой инфузии физиологического раствора до высокого давления
2. BСрочного исследования с глотанием бария до начала любой лекарственной терапии
3. CНПВП внутрь для обезболивания и богатой белком еды
4. DОктреотида или терлипрессина, а также антибиотиков внутривенно во время реанимации

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. APartial-thickness burns to both legs, with pain rated 8/10
2. BRedness on the backs of both hands, and very anxious
3. CA blistered forearm burn and a small cut on the knee
4. DCircumferential chest burns, with breathing becoming shallow and laboured