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

How is hepatitis B mainly spread?

1. AThrough touching door handles and shaking hands
2. BOnly by eating undercooked shellfish from polluted water
3. CThrough blood, sexual contact and from mother to baby
4. DOnly by coughing and sneezing

What does the grade of a cancer describe?

1. AHow many treatments the patient has had so far, including surgery
2. BThe patient's age when diagnosed
3. CHow far the cancer has spread in the body
4. DHow abnormal the cancer cells look under a microscope

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ASharp pain in the right shoulder after meals
2. BCramping pain low in the left side of the abdomen
3. CPainless yellowing of the skin and eyes
4. DBurning pain behind the breastbone (heartburn)

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

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

Which liver function test pattern suggests bile duct obstruction?

1. AA low albumin with all other results normal
2. BVery high ALT with a normal bilirubin only
3. CHigh bilirubin with a markedly raised ALP and GGT
4. DNormal bilirubin with a low ALP and low GGT

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA bone density scan
2. BA test for coeliac disease
3. CScreening for tuberculosis
4. DA test of colour vision

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. ANormal adjustment to the new feed
2. BToo little calorie intake
3. CRefeeding syndrome
4. DAn allergy to the feed formula

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

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