TCON ACADEMIC CLUB ANTIDOTE

SURGICAL
NURSING

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UNIT-1
SURGERY AND SURGICAL NURSING
Short notes:

1. Pre-operative patient education ** (5)

2. Inflammation (5)
3. Wound healing process (5)
4. Preoperative teaching(5)
5. Inflammatory response (5)
6. Stages of wound healing****(5)

List down:

1. Four purposes of preoperative medications (3)

2. Methods of dressing* (3)
3. Complications of wound healing (3)
4. Three types of shock (3)
5. Three common postoperative complications (3)

Differentiate between:

1. Hypovolemic and anaphylactic shock (4)

2. Neurogenic shock and haemorrhagic shock (2)
3. Inflammation and infection (2)
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UNIT-2
OPERATING ROOM TECHNIQUE

Short notes:

1. Standard precautions (5)

2. Stages of anaesthesia*****(5)
3. Types of suture materials *** (5)
4. Complications of general anesthesia in the immediate post-operative
period (5)
5. Complications of anaesthesia(5)
6. Standard precautions in operation theatre (5)
7. Responsibilities of nurse in operation theatre (5)
8. Prevention of accidents in operation theatre (5)
9. Principles of operation theatre technique*** (5)
10.Biomedical waste management in operating room (5)
11.Infection control in operation theatre (5)

List down:

1. Three principles of operation theatre technique (3)

2. Stages of general anaesthesia * (3)
3. Types of anaesthesia(3)
4. Classification of anesthesia (3)
5. Types of suture materials**** (3)
6. Types of sutures (3)
7. Complications of General Anaesthesia* (4)
8. Complications of spinal anaesthesia (3)
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9. Two classifications of anaesthesia (3)

10.Principles of operation theatre technique (3)
11.Three types of anaesthesia (3)

Differentiate between:

1. Fumigation and disinfection (2)

2. Medical asepsis and surgical asepsis (2)
3. Disinfection and sterilization***** (4)
4. Paralysis and paresis*** (2)

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UNIT-3
NURSING MANAGEMENT OF PATIENTS
UNDERGOING GASTROINTESTINAL
SURGERIES

Essays:

1. Discuss the etiology and pathophysiology of ulcerative colitis. Explain the

surgical procedures used to treat ulcerative colitis and draw a
preoperative nursing care plan based on nursing process for a patient with
ulcerative colitis (2+2+5+6=15)
2. Define peptic ulcer. Discuss the etiology and the pathophysiology of
peptic ulcer. Explain the surgical therapy and the preoperative
management of a patient suffering from peptic ulcer.(1+2+3+3+6)
3. Define colostomy. Classify types of colostomy. Explain post-operative care
of the stoma. (2+4+4=10)
4. Define peptic ulcer. Discuss the clinical manifestations and complications
of chronic peptic ulcer.Draw a nursing care plan for a patient who has
undergone partial gastrectomy for the first 24 hours. (1+4+4+6=15)
5. Mrs. Rema 48 years old is admitted in the ward with diagnosis of intestinal
obstruction.
Answer the following:

1. List down the causes. Enumerate the signs and symptoms. Plan the post
operative nursing care on priority basis of the first 48 hours(3+4+8=15)
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Short essays:

1. Mr. Rajan is admitted to post-operative unit following gastrectomy for

cancer of stomach. What are the risk factors of cancer of stomach. Briefly
explain the complications and its management following gastrectomy.
(3+4=7)
2. Discuss the pathophysiology of acute pancreatitis. Explain the conservative
therapy used in acute pancreatitis (3+4=7)

Short notes:

1. Care of patient with an ileostomy (5)

2. Causes of carcinoma stomach (5)
3. Inflammatory bowel disease (5)
4. Hiatus hernia (5)
5. Care of patient with a colostomy (5)
6. Nursing care following hemorrhoidectomy (5)
7. Types of colostomy (5)
8. Esophageal varices (5)
9. Haemorrhoids (5)
10.Health education to patients with permanent colostomy (5)
11.Dumping syndrome***(5)

List down:

1. Three indications for colostomy (3)

2. Three complications of gastrectomy (3)
3. The causes of intestinal obstruction *(3)
4. Three types of hernias (3)
5. Types of hernia*10 (3)
6. Types of colostomy (3)
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Differentiate between:

1. Barium meal and barium enema*(3)

2. Billroth I and Billroth II procedure (3)
3. Hyponatremia and hypernatremia (2)
4. Anal Fissure and Anal Fistula (4)
5. Fissure and fistula***** (2)
6. Colitis and Ileitis (4)
7. Incisional hernia and inguinal hernia (2)
8. Cushing’s ulcer and curling’s ulcer (2)
9. Colostomy and colectomy (2)
10.Herniorrhaphy and hernioplasty (2)
11.Gastric ulcer and duodenal ulcer ** (2)
12.Hemoptysis and hematemesis ** (2)
13.Cholelithiasis and cholecystitis (5)

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UNIT-4
NURSING MANAGEMENT OF PATIENTS
UNDERGOING RENAL AND
GENITOURINARY SURGERIES
Essays:

1. Mr. Kumar aged 68 yrs admitted with complaints of burning micturition and
increased frequency of urination. Define benign prostatic hyperplasia
(BPH). List down the clinical manifestations. Explain the specific post-
operative nursing management of this patient(2+5+8=15)
2. Define renal calculi. Enumerate the types of renal calculi. Explain the post-
operative management of patient with renal calculi (2+3+5)
3. What are the clinical manifestations of benign prostatic hypertrophy (BPH).
Describe the diagnostic measures of benign prostatic hypertrophy. Explain
the management modalities of benign prostatic hypertrophy (3+3+6)
4. 55 years old Mr. A was admitted in the ward with complaints of pain in the
flank region. He was diagnosed to have renal calculi. Enumerate the causes
of renal calculi. Describe the differences in pain between renal, uretic and
bladder calculi. Applying nursing process, explain pre and post-operative
nursing care of patient undergoing percutaneous nephrolithotomy
(PCNL)(3+3+6)
5. Mrs. Jennifer aged 40 years with recurrent pyelonephirtis is diagnosed to
have urinary stones. Define and classify urinary calculi. Discuss the
treatment option and health education for this patient(2+5+8=15)
6. Define the term urolithiasis. Enumerate the types and explain the various
methods in management of patient with urolithiasis( 1+4+5=10)
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Short notes:

1. Methods of urinary diversion* (5)

2. Continuous bladder irrigation (5)
3. Hydrocele (5)
4. Clinical manifestation in renal cell carcinoma (5)
5. Lithotripsy technique(5)

List down:

1. Surgical approaches in benign prostatic hypertrophy * (3)

2. Types of urinary calculi (4)
3. Four methods of urinary diversion (3)
4. Types of renal calculi* (3)

Differentiate between:

1. Lithotomy and lithotripsy (2)

2. Haematuria and oliguria (2)
3. .Epispadias and hypospadias*11 (2)
4. Colloids and crystalloids (2)

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UNIT-5
NURSING MANAGEMENT OF PATIENTS
UNDERGOING THORACIC AND VASCULAR
SURGERIES

Essays:

1. Define Raynaud’s disease. List the clinical features of acute ischemia.

Explain nursing care after lumbar sympathectomy (2+4+4=10)
2. Define thromboangitisobliterans. List down the specific symptoms. Explain
the post – operative nursing care after lumbar sympathectomy. (2+4+4)
3. Define thromboangitisobliterans. List the clinical features of acute
ischaemia. Explain the nursing care after lumbar sympathectomy.
(2+4+4=10)

Short essays:

1. Discuss the clinical manifestations and management of a patient with chest

injury (2+5=7)
2. Nursing care of patients with Chest drainage (2+2+3=7)

Short notes:

1. Lung abscess*** (5)

2. Pneumothorax (5)
3. Varicose veins (5)
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4. Hyperbaric oxygen therapy (5)

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5. Care of patient with chest drainage (5)

6. Care after pneumonectomy** (5)
7. Management of inter costal drainage (5)
8. Care of patient with intercostals drainage****** (5)
9. Management of a drain (5)

List down:

1. The benefits of deep breathing and coughing exercise (3)

2. Types of aneurysms***(4)
3. Signs of acute ischaemia (3)
4. Types of chest injuries (3)
5. Three characteristic features of chronic bronchitis (3)
6. Principles in the functioning of inter costal drainage. (3)
7. Types of pneumothorax. (4)

Differentiate between:

1. Bronchoscopy and bronchogram (2)

2. Segmental resection and pneumonectomy*** (2)
3. Haemothorax and pneumothorax*** (2)
4. Tachycardia and bradycardia (2)
5. Bradypnea and tachypnea **(2)
6. Empyema and emphysema****** (2)
7. Ischemia and infarction***(2) 60
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UNIT-6
NURSING MANAGEMENT OF PATIENTS WITH
DISORDERS OF MUSCULOSKELETAL
SYSTEM

Essays:

1. Define amputation. List the complications following amputation. Explain

the post- operative management of below knee amputation. (2+4+4=10)
2. 2. Define amputation. List the complications following amputation. Explain
the rehabilitative measures for this patient. (1+4+5=10)
Short essay
1. Define amputation. Enlist the complications of amputation. Explain the
postoperative management of a patient after below knee amputation. (7)

Short notes:

1. Types of head injury (5)

2. Types of splints and their indications in fracture (5)
3. Colles’ fracture (5)
4. Stages in fracture healing (5)
5. Care of patient on skin traction*** (5)
6. Care of patient with plaster cast (5)
7. Nursing care of a patient with plaster cast (5)
8. Stages of bone healing (5)
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List down:

1. Three types of fractures (3)

2. Complications of fracture ***(4)
3. Clinical features of osteoarthritis***(3)
4. Types of fractures (3)
5. Drugs used in rheumatoid arthritis (4)
6. Clinical features of rheumatoid arthritis* (3)
7. Stages of bone healing (3)

Differentiate between:

1. Osteoarthritis and rheumatoid arthritis****** (2)

2. Acceleration and deceleration injuries (2)
3. Subluxation and dislocation (4)
4. Medical asepsis and surgical asepsis (2)
5. Arthodesis and arthroplasty (2)
6. Skin traction and skeletal traction **(2)
7. Amputation and disarticulation (2)
8. Osteomalacia and osteomyelitis ***(2)

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UNIT-7
NURSING MANAGEMENT OF PATIENTS WITH
MISCELLANEOUS SURGICAL CONDITIONS

Essays:

1. Mrs. Shashi is diagnosed to have breast cancer. Discuss the following: Risk
factors of breast cancer. Types of breast cancer. Surgical management of
breast cancer (2+2+6=10)
2. Mrs. Sarah aged 60 yrs is admitted with complaints of lump in her breast.
Define Breast cancer. List down the surgical approaches. Explain specific
post – operative nursing management. (3+4+8=15)
3. Explain the etiology, clinical manifestations and surgical approaches in a
patient with carcinoma breast. Explain the post-operative management of
patient who has undergone mastectomy. (3+2+3+7=15)
4. Mr. Mark, 60 years old is admitted with the history of severe headache,
vomiting, confusion and double vision. What are the causes and risk factors
for increased ICP and explain the nursing management for increased ICP.
(5+5=10)
5. Mrs. Raji, 45 years old had undergone modified radical mastectomy for
cancer of breast. List postoperative exercises following mastectomy.
Describe the nursing management of Mrs. Raji for the 1st 48 hours of
surgery. Explain breast selfexamination (3+6+3=12)
6. Explain the types of burn injury. Classify the burn injury depth. Discuss the
emergency management of thermal burns. (2+2+6=10)
7. Discuss the sources and classification of burn injury. Explain the nursing
management of a patient with 70% burns during emergent phase.
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(2+3+7=12)
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8. Mr. Arun, 45 yrs old is admitted with injury to the head after a road traffic
accident. Define head injury. Discuss the specific assessment to be done for
the patient. Explain the post operation nursing management after
craniotomy (3+4+8=15)
9. Mrs. Deepa, 25 yrs old is admitted with head injury after a road traffic
accident. Define head injury. Discuss specific observations to be made for
this patient. Explain post-operative nursing management after craniotomy.
(3+4+8=15)
10.Mr. Ravi, a 50 years old man is admitted with head injury after a road traffic
accident. Definehead injury, Discuss the assessment of this patient. Prepare
a nursing care plan for thepatient after craniotomy. (2+5+8=15)
11.Mrs.Lakshmi, aged 45 years, mother of three children has come with a
lump in her breast. Define breast cancer. List down the diagnostic measures
to confirm breast cancer. Explain the pre and post operative nursing
management of this patient. (2+5+8=15)
12.Mr Krishnan, 47 years old man is admitted to the casualty with 60% TBSA
burns. Explainthe initial assessment and fluid resuscitation of Mr Krishnan.
Draw a nursing care planbased on nursing process for the first 48 – 72
hours. (3+4+8=15)
13.Mrs. Geetha 52 years old is admitted with diagnosis of carcinoma breast.
Enumerate the risk factors of carcinoma breast. Describe the various
surgical interventions. Describe the immediate post operative assessments
to be made and plan the nursing interventions on priority basis (3+5+7=15)
14.Mrs. Thomas 70 years is admitted in the ward with 60% burns. Explain the
pathophysiology in burns. Describe the role of nurse in fluid management
in the acute phase. (4+6=10)
15.Mrs. Saroja aged 50 yrs mother of 2 children came with a lump in her
breast. Define Breast cancer. List down the diagnostic tests to confirm the
diagnosis. Explain specific postoperative nursing management of this
patient. (3+4+8=15)
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16.Mrs. X, 55 years old is admitted with breast cancer and posted for radical
mastectomy. Enumerate the risk factors and diagnostic measures of breast
cancer. Explain the post operative management of a patient after
mastectomy (12)

Short essays:

1. Mrs. X is admitted with history of alleged burns. Classify burns according to

the cause of injury. What are the complications of burns in the acute phase.
Which are the formulae used to calculate fluid replacement in burn injury.
(2+2+3)
2. 2. Enumerate the risk factors for breast cancer. Discuss the surgical
management of breast cancer* (2+5=7)
3. List down Indications of Thyroidectomy. Write down the Complications of
Thyroidectomy. Explain Immediate post operative management after
Thyroidectomy (2+2+3=7)
4. Mr Y, a 50 years old man is admitted to the emergency department with
70% TBSA burns. Explain the initial assessment and fluid resuscitation plan
of Mr Y. (7)

Short notes:

1. Types of head injury (5)

2. Glasgow coma scale (GCS) interpretation (5)
3. Increased intra cranial pressure (5)
4. Complications of chemotherapy (5)
5. Post mastectomy exercises***** (5)
6. Complications of radiotherapy (5)
7. Post mastectomy exercises*8 (5)
8. Fluid therapy in burns*** (5)
9. Complications of thyroidectomy*8 (5)
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List down:

1. Ways of spread of malignant growths (3)

2. Three major complications of burns.**** (3)
3. Complications of head injury (3)
4. Five types of head injuries (3)
5. Signs of increased intracranial pressure ** (3)
6. Clinical features of rheumatoid arthritis (3)
7. Warning signs of cancer******* (3)
8. Complications of thyroidectomy (3)

Differentiate between:

1. Benign tumor and malignant tumor**** (2)

2. Concussion and contusion(2)

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UNIT-8
NURSING MANAGEMENT OF PATIENTS WITH
DISORDERS OF EAR, NOSE AND THROAT

Essays:

1. Discuss the etiology, clinical manifestations, surgical and nursing

management of chronic otitis media. (1+2+2+5=10)

Short notes:

1. Nursing management for epistaxis (5)

2. Epistaxis** (5)
3. Nursing care following tonsillectomy (5)
4. Tracheostomy care * (5)
5. Role of nurse in taking care of patients after tonsillectomy (5)
6. First aid measures for epistaxis (5)

List down:

1. Three surgeries for chronic otitis media* (3)

2. Signs and symptoms of otitis media (3)
3. List the causes of epistaxis (4)
4. Types of hearing aids**** (3)
5. Types of hearing loss* (4)
6. Indications for tracheostomy***** (3)
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Differentiate between:

1. Laryngectomy and tonsillectomy (2)

2. Mastectomy and mastoidectomy (2)
3. Pharyngitis and tonsillitis (2)

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UNIT-9
NURSING MANAGEMENT OF PATIENTS WITH
DISORDERS OF THE EYE

Essays:

1. Define cataract and enumerate its aetiology. Explain the surgical therapy
and nursing management of a patient after cataract surgery. (1+ 2+2+5=10)

Short notes:

1. Retinal detachment*** (5)

2. Care of patient after cataract surgery (5)
3. Keratitis (5)
4. Enucleation (5)
5. Health education of patients with glaucoma (5)
6. Eye banking**** (5)
7. Ocular emergencies (5)

List down:

1. Three characteristics of glaucoma (3)

2. Types of cataract (3)
3. Three ocular injuries (3)
4. Four types of refractive errors (3)
5. Refraction errors (3)
6. Types of glaucoma* (3)
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Differentiate between:

1. Stye and chalazion****(2)

2. Intracranial pressure and intra ocular pressure(2)
3. Myopia and hypermetropia*****(2)
4. Dacryocystitis and cholecystitis(4)
5. Keratoplasty and myringoplasty(2)
6. Keratitis and uveitis(2)
7. Conjunctivitis and dacryocystitis***(2)

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