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

Which drug reverses the effects of opioids?

1. AFlumazenil
2. BProtamine
3. CVitamin K
4. DNaloxone

What is healing by secondary intention?

1. AA wound closed a few days after it was left open
2. BA wound left open that heals from the base upwards
3. CA wound closed with sutures straight after surgery
4. DA wound that heals without any new tissue

Ameliyat sonrası hızlandırılmış iyileşme (ERAS) nedir?

1. AHastaların üç gün yatakta kalması gerektiğini söyleyen bir kural
2. BHiç anestezi gerektirmeyen bir cerrahi teknik
3. CHastaların ameliyattan sonra daha hızlı iyileşmesine yardımcı olan bir bakım yolu
4. DTüm ilaçları damardan verme yöntemi

Which statement about moist wound healing is correct?

1. AA wet wound bed always prevents infection
2. BWounds should be soaked in water for hours every day
3. CWounds heal fastest when left to dry out and form a scab
4. DA moist, not wet, wound bed helps cells move and heal faster

Anestezi sırasında malign hipertermin çoğu zaman en erken bulgusu nedir?

1. AAçıklanamayan end-tidal CO₂ artışı
2. BVücut sıcaklığında düzenli düşüş
3. CKalp hızında yavaşlama ve düşük kan basıncı
4. DKızarmış cilt ve düşen CO₂ düzeyi

Why are antiemetics usually given before chemotherapy starts?

1. APreventing nausea works better than treating it later
2. BThey cannot be given once nausea has started
3. CThey stop the chemotherapy from causing hair loss and mouth sores
4. DAntiemetics make the chemotherapy work better

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

1. AIt makes the patient's potassium dangerously high
2. BIt interacts with all general anaesthetic gases and stops them working
3. CIt raises the risk of ketoacidosis, even with near-normal glucose
4. DIt causes the surgical wound to bleed more

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. ATell her the surgery must be cancelled for a month
2. BInform the surgical and anaesthetic teams, who will check the INR
3. CProceed with the usual checklist and say nothing
4. DGive a double dose of vitamin K by mouth without waiting for a prescription