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

What is diverticulosis?

1. AInflammation of the whole small bowel wall
2. BA twist of the sigmoid colon on itself
3. CSmall pouches in the wall of the colon
4. DA tumour growing inside the rectum

Which feature is typical of an arterial leg ulcer?

1. AA painful, punched-out wound on a cold, pale foot
2. BA shallow, wet wound around the ankle with warm, swollen skin
3. CA blister on the heel with plenty of hair growth
4. DA painless wound on the shin with normal pulses

Hastalardan genel anesteziden önce neden aç kalmaları istenir?

1. ABağırsağı görüntülemelerde daha kolay görmek için
2. BMide içeriğinin aspirasyonu riskini azaltmak için
3. CKan glukoz düzeyini olağandan yüksek tutmak için
4. DAmeliyat sırasındaki kanamayı azaltmak için

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. AParacetamol and codeine cause a severe allergic reaction when combined
2. BCo-codamol must be stopped a week before any paracetamol
3. CIt already contains paracetamol, so overdose could occur
4. DCo-codamol stops paracetamol from working

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. AProne, with the head lower than the feet
2. BOn the left side, to drain the liver
3. COn the right side, to press on the puncture site
4. DSitting upright, with the legs over the edge of the bed

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

1. APeak flow and visual acuity
2. BBowel sounds and stool colour only
3. CBlood glucose and signs of line infection
4. DPupil size and limb strength

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. AAn allergy to the dressing only
2. BBurn wound infection with sepsis
3. CThe normal hypermetabolic response alone
4. DDelirium from boredom on the ward

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