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

Which sign suggests acute cholecystitis?

1. ABruising around the umbilicus and over both flanks of the abdomen
2. BPain in the left lower abdomen when the right side is pressed
3. CPain that stops a deep breath when the right upper abdomen is pressed
4. DA flapping tremor of the hands when the arms are held out

Using the rule of nines in an adult, what percentage is the whole head and neck?

1. A1%
2. B9%
3. C18%
4. D4,5%

Which finding describes a category 1 pressure ulcer?

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

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. AThe tourniquet slowly loses all its air after one minute
2. BThe surgeon is paid per minute of use
3. CIt shows how long the anaesthetic gas was used
4. DLong inflation can cause nerve and muscle damage

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AA dislocated shoulder from patient positioning
2. BGas used during surgery irritating the diaphragm
3. CAn allergy to the dressing on the wound
4. DA heart attack during the operation

Why are many patients screened for MRSA before planned surgery?

1. ASo that surgery can be cancelled for all positive patients
2. BTo decide which anaesthetic drug to use
3. CSo that carriers can be decolonised to reduce infection
4. DTo check whether the patient has had a flu vaccine

Через десять дней после химиотерапии у пациента температура 37,6 °C, но он чувствует озноб и недомогание, пульс 112/мин, АД 95/60 mmHg. Какое действие правильно?

1. AСчитать возможным нейтропеническим сепсисом: внутривенные антибиотики в течение часа
2. BУспокоить пациента, потому что температура ещё ниже 38 °C
3. CДождаться числа нейтрофилов, прежде чем решать о лечении
4. DДать парацетамол и повторно измерить температуру через четыре часа

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with an ileostomy waiting to change the pouch
2. BA patient with stable ulcerative colitis asking about diet
3. CA patient with GORD who wants an antacid
4. DA patient with cirrhosis who is newly confused and drowsy