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

What is steatorrhoea?

1. AVery hard, pellet-like stools
2. BBlack stools caused by taking iron tablets each day
3. CPale, greasy, foul-smelling stools that may float
4. DBright red blood mixed in with the stool on most days

What is dyspepsia?

1. ADifficulty swallowing solid food and tablets
2. BVomiting of blood after a large meal
3. CUpper abdominal discomfort, often called indigestion
4. DPain in the rectum on opening the bowels

How is the length of a nasogastric tube usually estimated before insertion?

1. AFrom the nose tip to the earlobe, then to the xiphisternum
2. BFrom the chin to the umbilicus in a straight line
3. CAny length, as long as the whole tube is inserted
4. DFrom the mouth to the knee on the same side of the body

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt makes the bowel stop moving completely
2. BIt always causes severe diarrhoea
3. CIt increases gut movement against the blockage
4. DIt blocks the effect of all opioids

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

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

Why should antacids usually be taken at a different time from other medicines?

1. AThey stop the kidneys from clearing other drugs
2. BThey make all other drugs much more toxic
3. CThey destroy other drugs before they are swallowed
4. DThey can reduce the absorption of many other drugs

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AOral aspirin to balance the clotting system quickly
2. BProtamine sulfate on its own
3. CProthrombin complex concentrate with IV vitamin K
4. DMore warfarin to stabilise the INR

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

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