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

Mekanik ince bağırsak tıkanıklığının erken döneminde hangi bağırsak sesleri tipiktir?

1. ABaştan itibaren tamamen yok olan sesler
2. BPlevral sürtünme sesi
3. CTiz, çınlayan sesler
4. DHafif, normal guruldama sesleri

If hair must be removed before surgery, which method is recommended?

1. AElectric clippers on the day of surgery
2. BA wax strip several days before surgery
3. CA razor shave the night before surgery
4. DPulling the hairs out with tweezers

What is a keloid scar?

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

Which change suggests that a burn wound is becoming infected?

1. ADry, healing skin with mild itching
2. BA partial-thickness burn becoming deeper, with new discolouration
3. CThe wound becoming pink and a little smaller at each dressing change
4. DLess exudate on each dressing change

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo find the bacteria in the wound
2. BTo exclude significant arterial disease
3. CTo check for a leg bone fracture
4. DTo find out how deep the ulcer is

Eksudası fazla olan bir yara için genellikle hangi pansuman uygundur?

1. AHidrojel tabaka
2. BHaftalık değiştirilen kuru gazlı bez
3. CAljinat veya köpük
4. Dİnce şeffaf film

Ameliyat sonrası opioid PCA'dan solunum depresyonu riski en yüksek olan hasta hangisidir?

1. AOpioid kullanmamış, uyku apnesi olan ve ayrıca sedatif alan yaşlı hasta
2. BAylardır düzenli opioid kullanan genç hasta
3. CBaşka tıbbi sorunu olmayan ve parasetamol alan hasta
4. DAğrı skoru 8/10 olan ve tamamen uyanık ve dikkatli hasta

A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?

1. AMassage around the wound every hour to stimulate blood flow to the skin
2. BLeave it uncovered and dry it with a hair dryer
3. CSit the patient upright in a chair for most of the day
4. DOffload the area, manage moisture, support nutrition and dress it