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

Ostomi torbası genellikle ne zaman boşaltılmalıdır?

1. AYalnızca sızdırmaya başladığında
2. BYalnızca ağzına kadar tamamen dolduğunda
3. CGünde bir kez, aynı saatte
4. DÜçte biri ile yarısı dolduğunda

Which is a main benefit of early mobilisation after surgery?

1. ALess need to check the wound at all
2. BFaster absorption of the anaesthetic gas
3. CIt prevents all postoperative pain
4. DLower risk of chest infection and blood clots

Ağrı yönetiminde PCA neyin kısaltmasıdır?

1. AHasta kontrollü analjezi (patient-controlled analgesia)
2. BBakım sonrası değerlendirme
3. CReçete edilmiş sürekli anestezi
4. DBir yardımcı tarafından ağrı kontrolü

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

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

Which monitoring is especially important for a patient receiving parenteral nutrition?

1. ABowel sounds and stool colour only
2. BBlood glucose and signs of line infection
3. CPeak flow and visual acuity
4. DPupil size and limb strength

Tümör lizis sendromu nedir?

1. ASinirlere baskı yapan yavaş büyüyen bir tümör
2. BYakın zamanda radyoterapi uygulanan bölgede cilt reaksiyonu
3. CKanser hücrelerinin hızla yıkımına bağlı metabolik bir acil durum
4. DKemoterapi infüzyonuna alerjik reaksiyon

Which patient has the highest risk of postoperative nausea and vomiting?

1. AA male smoker having a short procedure without opioids
2. BA smoker who has never had nausea after surgery
3. CA man with no history of nausea having local anaesthetic only
4. DA non-smoking woman with motion sickness who will need opioids

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AInform the anaesthetist, as malignant hyperthermia may run in the family
2. BGive paracetamol before surgery to prevent fever
3. CReassure the patient that fevers after anaesthesia are always harmless
4. DRecord it as a family allergy to paracetamol