Cevaplı Dahili-cerrahi: sindirim sistemi, perioperatif ve onkoloji çalışma kâğıdı

What is a keloid scar?

1. AA flat, pale scar that fades and softens over time
2. BA raised scar that grows beyond the edges of the wound
3. CA scar that forms only on the inside of the body
4. DA wound that will not close at all

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A9%
2. B18%
3. C36%
4. D27%

Why should rings, watches and tight clothing be removed early after a burn to the arm?

1. AThey make the burn look worse in photographs
2. BMetal items always cause infection in burns
3. CSwelling may follow, and they could cut off the circulation
4. DThey interfere with the rule of nines calculation of burn size

A dying patient can no longer drink. Which mouth care is most appropriate?

1. AFrequent, gentle moistening of the mouth and lips
2. BLemon and glycerine swabs every hour to stimulate saliva
3. CBrushing hard with a stiff toothbrush twice a day
4. DNo mouth care, to avoid disturbing the patient

Which finding suggests a deep tissue pressure injury?

1. AA small scratch on the skin with a little fresh red blood
2. BIntact skin that is purple or maroon over a bony area
3. CPale pink skin that blanches quickly when pressed
4. DDry, flaky skin on both shins

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

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

A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?

1. ATumour lysis syndrome
2. BDiabetes insipidus
3. CHypercalcaemia of malignancy
4. DSIADH

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AIgnore the comment because the form is already signed
2. BReassure the patient that the surgeon knows best
3. CExplain the surgical risks in detail without involving the surgeon
4. DInform the surgeon so that the procedure can be explained again