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

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, so they must avoid all contact with children and pregnant women
2. BOnly their clothes are radioactive afterwards
3. CNo, they are not radioactive and can be with family
4. DYes, for one month after each session

Tam kat yanığa hangi özellik tipiktir?

1. AAğrısız, deri gibi sert, beyaz veya kahverengi cilt
2. BGüneş yanığı gibi, kabarcıksız, kırmızı, ağrılı cilt
3. CBastırınca solan ve birkaç günde iyileşen cilt
4. DBüyük, ağrılı kabarcıkları olan nemli, pembe cilt

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 0,05 mL/kg per hour
2. BAbout 0,5 mL/kg per hour
3. CAbout 50 mL/kg per hour
4. DAbout 5 mL/kg per hour

Which finding means a patient is usually ready to leave recovery for the ward?

1. ASystolic BP falling steadily over the last hour, with a rising pulse rate
2. BStill drowsy and needing a jaw thrust to breathe
3. CAwake, with a clear airway, stable observations and controlled pain
4. DPain score 9/10 and vomiting repeatedly

What is achalasia?

1. AA tear at the junction of the oesophagus and the stomach
2. BWeakness of the lower oesophageal sphincter that allows reflux
3. CInflammation of the oesophagus caused by a fungal infection
4. DFailure of the lower oesophageal sphincter to relax on swallowing

Multimodal analjeziyle ilgili hangi ifade doğrudur?

1. ADaha güçlü genel etki için birkaç farklı opioid birleştirilir
2. BAynı anda yalnızca tek bir analjezik verilmelidir
3. COpioid gereksinimini azaltmak için farklı etkili ilaçlar birleştirilir
4. DYalnızca uzun süreli kronik ağrıda kullanılan bir yöntemdir

A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?

1. A"I'll put the used syringe in the sharps bin."
2. B"I'll report any unusual bruising or bleeding."
3. C"I'll change the injection site each day."
4. D"I'll rub the area afterwards to spread the medicine."

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AInform the surgeon so that the procedure can be explained again
2. BReassure the patient that the surgeon knows best
3. CIgnore the comment because the form is already signed
4. DExplain the surgical risks in detail without involving the surgeon