内外科护理：消化、围手术期与肿瘤练习卷（附答案）

What is a keloid scar?

1. AA flat, pale scar that fades and softens over time
2. BA scar that forms only on the inside of the body
3. CA wound that will not close at all
4. DA raised scar that grows beyond the edges of the wound

Why are pressure garments worn after burns heal?

1. ATo keep the patient warm in winter
2. BTo reduce raised, thick scarring
3. CTo hide the scars from other people
4. DTo prevent infection of the healed skin

What does dysphagia mean?

1. AIndigestion after fatty food
2. BPainful passing of urine
3. CDifficulty speaking clearly
4. DDifficulty swallowing

Why do patients usually have a dental review before radiotherapy to the head and neck?

1. ARadiotherapy can only be given once all the teeth have been removed
2. BThe dentist gives the radiotherapy
3. CTeeth block the radiation beam completely
4. DIt causes dry mouth and raises the risk of decay and jaw damage

哪些体征提示严重急性胰腺炎伴组织内出血？

1. A脐周或腰部瘀斑
2. B嘴唇、舌头和面部肿胀
3. C指甲发黄
4. D手掌和足底的紫色皮疹

Why are many patients screened for MRSA before planned surgery?

1. ATo decide which anaesthetic drug to use
2. BTo check whether the patient has had a flu vaccine
3. CSo that carriers can be decolonised to reduce infection
4. DSo that surgery can be cancelled for all positive patients

A patient with a leg ulcer has an ABPI of 0.5. The doctor's plan mentions starting strong compression bandages. What should the nurse do?

1. AWithhold strong compression and discuss urgent vascular referral
2. BApply the strongest compression to speed healing
3. CApply compression and elevate the leg above the heart all day
4. DApply compression but only at night

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