Nursing Techniques and Procedures Quiz
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Questions and Answers

Correct position of inserting a Nasogastric Tube is

  • Supine with Neck flexed
  • Sitting with Neck Extended
  • Supine with Neck extended
  • Sitting with Neck flexed (correct)

    • Which of the following is not scanned by e-FAST?

  • Pericardium
  • Bowel (correct)
  • Liver
  • Spleen

    • Prophylactic antibiotics to minimize the SSI are give

  • At time of surgical incision
  • Night before surgery
  • 60 minutes before skin incision (correct)
  • 1-3 hours before skin incision

    • Calculate the GCS of a patient exhibiting eye opening on painful stimulus, Conscious but confused and unable to tell time and exhibits flexion on painful noxious stimuli to the arm

    <p>10</p> Signup and view all the answers

    Amount of Blood lost in Class III Hemorrhagic Shock

    <p>30-40%</p> Signup and view all the answers

    50 kg patient has 40% Burns on his body surface area. Calculate the Ringer lactate fluid to be given in 1st 8 hours.

    <p>4 L</p> Signup and view all the answers

    Which of the following needle is used to suture skin?

    <p>Cutting needle</p> Signup and view all the answers

    Which of the following is the best parameter to monitor the response to shock management?

    <p>Urine output</p> Signup and view all the answers

    What is the investigation of choice in hemodynamically stable blunt injury abdomen patient?

    <p>CECT abdomen</p> Signup and view all the answers

    Identify the procedure shown here for providing nutrition

    <p>Percutaneous endoscopic gastrostomy</p> Signup and view all the answers

    What is the location of Kilian’s dehiscence?

    <p>Below Inferior Constrictor</p> Signup and view all the answers

    Which procedure is done for Ranula Management?

    <p>Excision of Sublingual gland</p> Signup and view all the answers

    Which cancer in thyroid arises from Parafollicular C cells?

    <p>Medullary cancer</p> Signup and view all the answers

    FNAC can diagnose all the following lesions except

    <p>Follicular cancer</p> Signup and view all the answers

    Warthin’s Tumor is seen arising from

    <p>Parotid gland</p> Signup and view all the answers

    Most common nerve injured in Thyroid Surgery

    <p>ELN</p> Signup and view all the answers

    Stage the Breast cancer – Size 3cm and 4 axillary nodes in Axilla

    <p>Stage II</p> Signup and view all the answers

    Which is correct regarding paeu de orange in breast cancer?

    <p>Infiltration of subdermal lymphatics</p> Signup and view all the answers

    For Sentinel Node Biopsy in Breast cancer, where is the Dye injected ideally.

    <p>Peritumoral</p> Signup and view all the answers

    What is the diagnosis of this mammography picture shown here:

    <p>Fibroadenoma</p> Signup and view all the answers

    Which of the following is not done in Cancer esophagus evaluation?

    <p>pH metry</p> Signup and view all the answers

    Gastric outlet obstruction leads to

    <p>Hypochloremic metabolic alkalosis</p> Signup and view all the answers

    Congenital Hypertrophic Pyloric stenosis presents at

    <p>4 weeks</p> Signup and view all the answers

    Achalasia Cardia presents with all except

    <p>Normal Peristalsis</p> Signup and view all the answers

    Boerhaave syndrome is

    <p>Spontaneous rupture of esophagus</p> Signup and view all the answers

    What is the diagnosis of this Barium enema?

    <p>Intussusception</p> Signup and view all the answers

    A 26 year old male patient presented with RIF pain and Fever. USG image is shown below:

    <p>Acute appendicitis</p> Signup and view all the answers

    Which is false about Crohn’s Disease?

    <p>No occurrence after surgery</p> Signup and view all the answers

    Best treatment for Anal Cancer Squamous cell cancer

    <p>Chemoradiation</p> Signup and view all the answers

    Which is true about Carcinoid Tumor?

    <p>Kulchisky cells origin</p> Signup and view all the answers

    Which of the following polyp is least likely to turn malignant?

    <p>Hyperplastic polyp</p> Signup and view all the answers

    Most common location of Lymphoma in GIT?

    <p>Stomach</p> Signup and view all the answers

    All are true about Femoral hernia except:

    <p>Common in Nulliparous women</p> Signup and view all the answers

    The content of Littre’s hernia is

    <p>Meckel’s diverticulum</p> Signup and view all the answers

    In Nyhus Classification Type 3A stands for which hernia?

    <p>Direct</p> Signup and view all the answers

    MC immediate complication of splenectomy:

    <p>Hemorrhage</p> Signup and view all the answers

    A 6 year old girl brought with high fever with rigors for 5 days with pain in right hypochondrium. On examination patient is anicteric and tenderness is noted in right upper quadrant. What is the best investigation in this case?

    <p>Contrast CT scan</p> Signup and view all the answers

    What is the name of the investigation shown here?

    <p>ERCP</p> Signup and view all the answers

    A patient with RUQ pain – USG done shows this image: Diagnosis is

    <p>GB stones</p> Signup and view all the answers

    Pringle’s manuever is used to control bleeding from

    <p>Hepatic artery</p> Signup and view all the answers

    Severity of Acute pancreatitis is assessed by

    <p>RANSON score</p> Signup and view all the answers

    In case of Annular Pancreas, what is the surgery of Choice

    <p>Duodeno-duodenostomy</p> Signup and view all the answers

    Which of these is the best for management of a 3cm stone in renal pelvis without evidence of hydronephrosis?

    <p>PCNL</p> Signup and view all the answers

    A 40 year old man after TURP for BPH develops seizures in post operative state. What is the diagnosis?

    <p>Water intoxication</p> Signup and view all the answers

    Bell Clapper testis predisposes to

    <p>Torsion</p> Signup and view all the answers

    Chordee is associated with

    <p>Hypospadias</p> Signup and view all the answers

    Most common complication of stripping varicose veins below knee is

    <p>Neuralgia</p> Signup and view all the answers

    All are true about Buerger’s disease except

    <p>Small acral vessels of limb involvement causes Hypohidrosis</p> Signup and view all the answers

    What is xenograft?

    <p>Transplant from one other species to human</p> Signup and view all the answers

    Craniopharyngioma is a brain tumor arising from

    <p>Rathke pouch</p> Signup and view all the answers

    What is the name of the investigation shown for T3N1 Esophageal Cancer?

    <p>Endoscopic Ultrasound</p> Signup and view all the answers

    Study Notes

    Nasogastric Tube Insertion

    • Correct position for inserting a nasogastric tube is sitting with the neck flexed.

    Ryles Tube Insertion

    • Ryles tube insertion is performed in either a semi-Fowler or Fowler position.

    Identifying the Tip of the Nasogastric Tube

    • Use pH paper to identify the stomach. The pH paper in the acidic range (1-3) indicates the tube is correctly placed in the stomach.

    e-FAST Assessment

    • The e-FAST exam assesses the presence of blood in the peritoneum or pericardium.
    • The exam focuses on four areas: epigastric (pericardial), splenic, hepatic, and pelvic.
    • The e-FAST exam also assesses the left and right thoracic cavities to help detect pneumothorax and collection in the thoracic cavity.

    Prophylactic Antibiotics

    • Prophylactic antibiotics are given 60 minutes before skin incision to minimize surgical site infections (SSIs).

    Surgical Site Infections (SSI)

    • SSI rates vary by the type of surgical procedure, ranging from 1-2% for clean surgeries to 7% and 13-20% in contaminated and dirty surgeries, respectively. A dirty surgery is one where the incision occurs though an abscess.

    Glasgow Coma Scale (GCS)

    • A patient exhibiting eye opening on painful stimulus, conscious but confused, and unable to tell time, and exhibiting flexion on painful stimuli to the arm, has a GCS of 10.
    • Details of the GCS scoring are presented in a table format.

    Class III Hemorrhagic Shock

    • Class III hemorrhagic shock is characterized by blood loss of 30-40%.

    Burns Fluid Calculation

    • For a 50kg patient with 40% burns, the Ringer lactate fluid to be given in the first 8 hours is 4 Liters.

    Surgical Needle Types

    • A cutting needle is a commonly used type of needle to suture skin.

    Surgical Suturing Techniques

    • Various needles, including the 1/4, 3/8, 1/2, and 5/8 curved needles, as well as straight and compound curves are displayed. Diagram of each type of needle is included.

    Monitoring Shock Response

    • Urine output is the most important parameter to monitor the response to shock management.

    Investigation for Blunt Abdominal Trauma

    • The investigation of choice for a hemodynamically stable patient with blunt abdominal trauma is a CT scan of the abdomen.

    Nutritional Support Procedures

    • Percutaneous endoscopic gastrostomy (PEG) is a procedure used to provide nutrition.

    Killian's Dehiscence

    • Killian's dehiscence is located below the inferior constrictor.

    Ranula Management

    • Excision of the sublingual gland is the procedure used in Ranula Management.

    Thyroid Cancer

    • Medullary cancer arises from parafollicular C cells of the thyroid.

    Fine Needle Aspiration (FNAC)

    • FNAC is an effective diagnostic technique for various thyroid lesions, except follicular cancers.

    Warthin's Tumor

    • Warthin's tumor originates from the parotid gland.

    Thyroid Surgery Nerve Injury

    • The recurrent laryngeal nerve (RLN) is the most frequently injured nerve during thyroid surgery, followed by the external laryngeal nerve (ELN) and the inferior laryngeal nerve (ILN)

    BEAHR'S Triangle

    • BEAHR'S Triangle is the location where the recurrent laryngeal nerve is at its highest risk of injury in thyroid surgery.
    • Borders of the BEAHR'S Triangle include the trachea-oesophageal groove, common carotid artery and inferior thyroid artery.

    Breast Cancer Staging

    • A breast cancer measuring 3 cm with 4 axillary nodes is staged as stage II.

    Breast Cancer Tumor Size

    • Various stages of breast cancer are categorized by the size of the tumor. T1, T1mi, T1a, T1b, T1c, T2, T3, T4a, and T4b refer to varying tumor sizes. Various details of Tumor characteristics are noted, with the T staging included.

    Peau d'Orange Appearance in Breast Cancer

    • The peau d'orange (orange peel) appearance in breast cancer is associated with infiltration of subdermal lymphatics.

    Sentinel Lymph Node Biopsy

    • In sentinel lymph node biopsy for breast cancer, the dye is injected ideally peritumorally.

    Mammography Diagnosis

    • The diagnosis of a mammography image showing a well defined, round mass most likely a fibroadenoma.

    Esophageal Cancer Investigation

    • The investigation shown refers to a transesophageal ultrasound (TUS) used in the diagnosis of T3N1 esophageal cancer.

    Rat Tail Appearance in Esophageal Cancer

    • A rat tail appearance in a chest X-ray suggests a possible esophageal cancer.

    Gastric Outlet Obstruction

    • Gastric outlet obstruction leads to hypochloremic metabolic alkalosis.

    Congenital Hypertrophic Pyloric Stenosis

    • Congenital hypertrophic pyloric stenosis typically presents at 4 weeks of age.

    Achalasia Cardia

    • Achalasia cardia, a condition also known as esophageal achalasia, typically presents with increased lower esophageal sphincter (LES) tone, proximal dilatation, and absence of normal peristalsis. Risk of malignancy is also associated.

    Boerhaave Syndrome

    • Boerhaave syndrome involves spontaneous rupture of the esophagus.

    Barium Enema Diagnosis

    • The barium enema for a patient with signs of bowel wall inflammation indicates intussusception.

    Acute Appendicitis Diagnosis

    • Ultrasound (or CT scan) would find an inflamed appendix (in the right lower quadrant). This would be the diagnosis from the provided pain locations.

    Crohn's Disease Features

    • Crohn's disease is characterized by skip lesions, apthous ulcers, and fistula formation. It can reoccur after surgery.

    Anal Cancer

    • Chemoradiation is the best treatment for anal squamous cell cancer..

    Carcinoid Tumor Characteristics

    • Carcinoid tumors are often benign and originate from Kulchitsky cells. Some patients also present with paroxysmal hypertension.

    Least Malignant Polyp Type

    • Hyperplastic polyps are the least likely to become malignant.
    • Inflammatory polyps or Hamartomatous polyps are more likely to be malignant.

    Lymphoma in the GI Tract

    • The stomach is a common location for lymphoma in the gastrointestinal (GI) tract.

    Femoral Hernia

    • Femoral hernia is less common in nulliparous women, in contrast to inguinal hernia.

    Littre's Hernia Content

    • Littre's hernia contains Meckel's diverticulum.

    Nyhus Classification of Hernia

    • Nyhus type III A is a direct hernia.

    Splenectomy Complications

    • The most frequent immediate complication following a splenectomy is hemorrhage.

    Acute Pancreatitis Severity Assessment

    • The severity of acute pancreatitis is assessed using the Ranson score.

    Annular Pancreas

    • Duodeno-duodenostomy is the surgical procedure of choice for annular pancreas.

    PCNL Procedure

    • Placement of nephroscope, irrigation fluid and ultrasonic probes are parts of the procedure known as PCNL (percutaneous nephrolithotomy).

    Post-TURP Complications

    • Water intoxication can occur in a patient following transurethral resection of the prostate (TURP).

    Prostate Zones

    • Diagrams illustrate the different zones of the prostate, including the transition zone, central zone, peripheral zone, and more. Benign prostatic hyperplasia (BPH) and prostate cancer are located within those zones, as well as the anterior and lateral lobes and middle and posterior lobes.

    Approaches to Prostate Surgery

    • Various prostate surgical approaches are illustrated.

    Hydronephrosis

    • Hydronephrosis, a complication that results from urinary tract obstruction, can be a sign of certain conditions and may affect the diagnosis.

    Bell Clapper Testis

    • Bell clapper deformity of the testicle is a risk factor for testicular torsion.

    Hypospadias

    • Hypospadias is associated with chordee.

    Urinary System Abnormalities

    • Certain abnormalities of the lower urinary system are detailed. Includes hooded foreskin, glandular, coronal, penile and perineal considerations.

    Varicose Vein Stripping Complications

    • The most prevalent complication of varicose vein stripping below the knee is neuralgia (nerve pain).

    Buerger's Disease Exclusions

    • Small acral vessels of the limb involvement does not cause Hypohidrosis (lack of sweat gland function) in Buerger's Disease. This was the exclusion in the multiple choice question.

    Xenograft definition

    • A xenograft is a transplant of tissues or cells from one species to another.
    • This is in contrast to an allograft, which is a transplant from one relative to another, or an autograft, where tissue is transplanted within the same individual.

    Craniopharyngioma Origin

    • Craniopharyngioma arises from the Rathke's pouch.

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    Description

    Test your knowledge on essential nursing techniques such as nasogastric tube insertion, e-FAST assessment, and proper antibiotic prophylaxis before surgical procedures. This quiz covers critical information needed to ensure patient safety and effective care in various clinical settings.

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