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

Why does chemotherapy often affect the bone marrow, gut lining and hair?

1. AThese tissues are the main sites of cancer
2. BThese tissues have no blood supply
3. CThese tissues store the chemotherapy drugs
4. DThese tissues contain rapidly dividing cells

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AOne episode of loose stools after a takeaway meal
2. BA lasting change in bowel habit with rectal bleeding
3. COccasional wind and rumbling after eating a meal of beans
4. DMild bloating before a period

Which signs suggest a deep vein thrombosis in the leg?

1. ASwelling, pain, warmth and redness of one calf
2. BItching between the toes of both feet
3. CA painless rash on both shins
4. DCold, pale feet on both sides with no pulse

What is the main treatment for a venous leg ulcer with an adequate arterial supply?

1. AStrong oral antibiotics for all ulcers
2. BSurgery to amputate the limb
3. CKeeping the leg hanging down all day
4. DCompression therapy

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AGas used during surgery irritating the diaphragm
2. BA dislocated shoulder from patient positioning
3. CA heart attack during the operation
4. DAn allergy to the dressing on the wound

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

1. ABlood glucose and signs of line infection
2. BPeak flow and visual acuity
3. CPupil size and limb strength
4. DBowel sounds and stool colour only

Bağırsak tıkanıklığı olan bir hastada (artık kolik şeklinde olmayan) sürekli şiddetli ağrı, ateş, 120/dk kalp hızı ve sert, hassas bir karın gelişiyor. Bu neyi düşündürür?

1. AYalnızca düzenli basit analjezi gerektiren normal gidiş
2. BAcil cerrahi değerlendirme gerektiren strangülasyon veya perforasyon
3. CUyarıcı bir laksatifle tedavi edilmesi gereken kabızlık
4. DBağırsak hareket etmeye başladığı için tıkanıklık gerilemektedir

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. ARedness on the backs of both hands, and very anxious
2. BA blistered forearm burn and a small cut on the knee
3. CPartial-thickness burns to both legs, with pain rated 8/10
4. DCircumferential chest burns, with breathing becoming shallow and laboured