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

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ASo pulse oximetry readings and nail colour can be assessed accurately
2. BBecause the varnish can make the anaesthetic gas less effective
3. CBecause it is a checklist rule with no clinical reason
4. DBecause varnish raises the patient's blood pressure

Yara iyileşmesi için hangi besin öğesi özellikle önemlidir?

1. AAlkol
2. BTuz
3. CKafein
4. DProtein

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo remove the whole colon permanently in a single operation
2. BTo divert stool while the join further down heals
3. CTo let the patient eat without chewing
4. DTo drain urine from the kidneys

Which lung problem is a known toxicity of bleomycin?

1. APneumothorax from coughing
2. BAsthma from pollen
3. CLung cancer within weeks
4. DPulmonary fibrosis

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo reduce insulin resistance and improve recovery
2. BTo raise the blood pressure during the anaesthetic
3. CTo replace the need for any IV fluids afterwards
4. DTo make the bowels open before the operation

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

1. AUlnar nerve
2. BSciatic nerve
3. CFacial nerve
4. DFemoral nerve

A patient with three fractured ribs is taking shallow breaths because of pain. Why is effective analgesia a priority?

1. APain relief is only needed for the patient's comfort
2. BRib pain always means the heart is damaged
3. CGood analgesia makes rib fractures heal fully within a few days
4. DShallow breathing can lead to atelectasis and pneumonia

A colleague suggests giving a saline injection to see whether a patient's pain is "real". What is the best response?

1. ADeceptive placebos are unethical and do not show pain is "fake"
2. BIt is acceptable if a senior nurse gives the saline
3. CIt is a good idea, as long as the patient is not told about it afterwards
4. DIt should be done only for patients with chronic pain