内外科护理：消化、围手术期与肿瘤练习卷（附答案）

What is an anastomosis in bowel surgery?

1. AA surgical join between two ends of bowel
2. BAn opening of the bowel onto the skin
3. CA drain placed beside the bowel
4. DA tube placed in the bowel for feeding

Why does a low serum albumin contribute to oedema?

1. AIt raises blood pressure and pushes fluid into the kidneys
2. BIt lowers oncotic pressure, so fluid leaks into tissues
3. CIt blocks the lymph vessels in the abdomen
4. DIt causes the heart to pump more blood into the legs

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AConstipation and pinpoint pupils
2. BStomach bleeding and kidney injury
3. CWeight gain and high potassium only
4. DHair loss and low white cell count

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. APregnant women cannot sign consent forms
2. BPregnancy always makes surgery impossible
3. CIt is needed to calculate the anaesthetic drug dose
4. DAnaesthesia, drugs and some tests may harm a fetus

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt is used only for burns of the hands
2. BIt counts superficial burns as well
3. CIt is faster to use than any other method of estimation
4. DIt adjusts for body proportions that change with age

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

1. AThey make the stool sample test positive falsely
2. BThey kill the normal bowel bacteria
3. CThey cause serious liver failure in most patients who take them
4. DThey may keep toxin in the bowel and risk toxic megacolon

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. AUrinary retention
2. BNormal post-operative drainage
3. CA wound haematoma
4. DA bile leak

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV lipid emulsion
2. BIV glucose 50%
3. CIV naloxone
4. DIV dantrolene