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

What is an incisional hernia?

1. AA bulge through a weakened surgical scar
2. BA bulge of stomach through the diaphragm
3. CA pouch in the wall of the colon
4. DA swelling in the groin present from birth

Which lifestyle advice helps reduce night-time reflux symptoms?

1. ASleep flat on several pillows placed under the knees
2. BNo food for 3 hours before bed, with the head of the bed raised
3. CDrink a large glass of fizzy water before lying down
4. DHave the largest meal of the day just before going to bed to aid sleep

Üst GİS kanamasının kaynağını bulmak ve tedavi etmek için genellikle hangi tetkik kullanılır?

1. ABaryumlu yutma incelemesi
2. BÜst GİS endoskopisi
3. CAyakta direkt karın grafisi
4. DBağırsağın kolonoskopisi

Why are patients with diabetes often placed early on the operating list?

1. ATo shorten fasting and reduce swings in blood glucose
2. BBecause their wounds heal faster in the morning
3. CBecause their surgery always takes longer than others
4. DBecause they need to go home before midday

Which statement about pain relief in acute pancreatitis is correct?

1. AOnly paracetamol may be given
2. BPain relief should be withheld until the diagnosis is certain
3. COpioids must never be used in pancreatitis
4. DOpioids can be used, and good analgesia is a priority

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AVitamin B₁₂ is lost in the urine after the surgery
2. BThe liver can no longer store any vitamins
3. CThe small bowel stops absorbing all nutrients
4. DIntrinsic factor from the stomach is no longer made

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. AEncourage plain water only, as much as possible
2. BStop the preparation and escalate to the medical team
3. CGive the rest of the preparation more quickly
4. DRecord it and continue as planned, as this is expected

Meme kanseri olan bir hasta konfüze, susamış ve kabız hale geliyor, poliürisi var. Hangi onkolojik acil düşünülmelidir?

1. ATümör lizis sendromu
2. BMalignitenin hiperkalsemisi
3. CSuperior vena kava obstrüksiyonu
4. DHipoglisemi