Question 258 · LEK · Gastrointestinal perforation

Indicate the procedures that should be carried out at the emergency dept. when taking care of a patient diagnosed with the perforation of the peptic ulcer (of stomach or duodenum):

1) insert a nasogastric tube to reduce the volume of gastric contents which may be discharged from the stomach to the peritoneal cavity;
2) insert Sengstaken-Blakemore tube to close the perforation in the stomach;
3) perform standing X-ray of the abdomen to confirm the diagnosis;
4) perform gastroscopy to confirm the diagnosis;
5) replenish fluids and electrolytes.
The correct answer is:
  1. A. 1,2,5. 88 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
  2. B. 1,3,5.
  3. C. 2,3,5.
  4. D. 2,4,5.
  5. E. 1,3,4.
Hint

Separate supportive emergency measures and simple imaging for free air from tools designed for variceal bleeding or contraindicated procedures.

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