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

Why should rings, watches and tight clothing be removed early after a burn to the arm?

1. AThey make the burn look worse in photographs
2. BMetal items always cause infection in burns
3. CSwelling may follow, and they could cut off the circulation
4. DThey interfere with the rule of nines calculation of burn size

Which signs suggest a surgical site infection?

1. AA dry wound edge with a thin scab
2. BMild bruising around the wound that is fading a little each day
3. CMild itching as the wound heals
4. DIncreasing pain, redness, swelling, heat and pus

Karaciğer hastalığında sarılık neden gelişir?

1. AKaraciğer temizleyemediği için bilirubin birikir
2. BBöbrekler vücut için çok fazla üre yapar
3. CBesinlerden gelen sarı pigment deride depolanır
4. DKaraciğer aynı anda çok fazla kırmızı kan hücresi yapar

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. ATake a bulk-forming laxative only with very little water
2. BStart a regular laxative at the same time
3. CWait until there has been no stool for a week
4. DStop eating fibre completely

Which medicine commonly delays wound healing?

1. ASaline eye drops
2. BVitamin C supplements
3. CParacetamol
4. DLong-term corticosteroids

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. AA rise in platelet count above normal
2. BAn infusion reaction, such as fever, rigors or breathlessness
3. CSevere constipation within the first hour of starting the infusion
4. DSudden hair loss during the infusion

On day 5 after a major burn, a patient is confused, with a temperature of 39,2 °C, tachycardia, and an offensive, discoloured wound. What should the nurse suspect?

1. ADelirium from boredom on the ward
2. BThe normal hypermetabolic response alone
3. CBurn wound infection with sepsis
4. DAn allergy to the dressing only

On day 3 after laparoscopic cholecystectomy, a patient has abdominal pain, fever and mild jaundice, and green fluid is draining from the drain. What is most likely?

1. AA wound haematoma
2. BUrinary retention
3. CA bile leak
4. DNormal post-operative drainage