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Homem de 62 anos, submetido à parotidectomia superficial por adenoma pleomórfico, evolui no 12º dia pós-operatório com saída de secreção clara pela ferida cervical, que aumenta durante a alimentação. Não há sinais de infecção local. Qual é a medida inicial mais apropriada para o manejo desse quadro?

A Indicar reabordagem cirúrgica imediata com revisão da anastomose ductal.
B Manter ferida aberta para cicatrização por segunda intenção.
C Realizar compressão suave no local associada à drenagem e ao uso de agente antissecretor salivar.
D Iniciar antibioticoterapia empírica sem drenagem.
E Aplicar solução hipertônica para fechamento químico da fístula.

Durante o manejo de um paciente com carcinoma epidermoide de pulmão estádio III, optou-se por tratamento combinado com quimioterapia e radioterapia administradas de forma concomitante. Essa estratégia tem como principal objetivo

A reduzir a dose total de radiação necessária para o controle local.
B diminuir a resistência tumoral à hipóxia, aumentando a oxigenação tecidual.
C potencializar o dano ao DNA tumoral por sinergismo entre agentes citotóxicos e radiação.
D minimizar a mielossupressão causada pelos quimioterápicos.
E melhorar a sobrevida global, sendo um tratamento neoadjuvante.

Mulher de 64 anos, previamente hígida, procura atendimento por tenesmo e episódios de enterorragia há 3 meses. Sua colonoscopia revela lesão ulcerada e estenosante em reto baixo, a 4 cm da margem anal, e a biópsia confirma adenocarcinoma. O estadiamento por Ressonância Magnética de Pelve demonstra: lesão T3 (invadindo a gordura mesorretal em 6 mm) e múltiplos linfonodos mesorretais suspeitos (N2), com distância de 1 mm da fáscia mesorretal (fáscia ameaçada), sem metástases à distância. A paciente possui status de performance (ECOG 0). Considerando o estadiamento e as diretrizes atuais para câncer de reto localmente avançado, nesse caso, a sequência terapêutica inicial mais adequada é

A quimiorradioterapia neoadjuvante padrão (long-course) seguida de cirurgia (Ressecção Total do Mesorreto) e, posteriormente, quimioterapia adjuvante (FOLFOX/CAPOX).
B cirurgia radical imediata (Amputação Abdominoperineal) devido à localização baixa e ao status N2, seguida de quimioterapia adjuvante.
C iniciar Terapia Neoadjuvante Total (TNT), com quimioterapia de indução (ex: FOLFOX) seguida de quimiorradioterapia, visando ao “downstaging” máximo antes da reavaliação cirúrgica.
D radioterapia de curta duração (5x5 Gy) seguida imediatamente pela cirurgia de ressecção total do mesorreto.
E observação vigilante (“Watch and Wait”), reservando a cirurgia apenas em caso de progressão dos sintomas de tenesmo.

Homem de 68 anos apresenta carcinoma ductal de pâncreas na cabeça pancreática (T2N1M0, AJCC 8ª ed.). O tumor provoca estenose duodenal e icterícia obstrutiva, tratada previamente com colocação de prótese plástica por papilotomia endoscópica. O paciente refere perda ponderal acentuada e passa a maior parte do dia no leito, embora consiga realizar higiene e alimentação com auxílio. Considerando o estadiamento, o desempenho funcional e os princípios de decisão terapêutica multidisciplinar, qual é a conduta inicial mais adequada para esse caso?

A Realizar gastroduodenopancreatectomia imediata, visto que o tumor é localizado e a icterícia foi controlada pela prótese biliar.
B Indicar radio e quimioterapia neoadjuvante, sem necessidade de nova intervenção cirúrgica, visando reduzir o volume tumoral e melhorar a capacidade alimentar antes de reavaliar a ressecabilidade.
C Realizar derivação digestiva (gastrojejunostomia ou jejunostomia) para suporte nutricional e controle da obstrução, associando tratamento sistêmico neoadjuvante, sendo esta uma conduta indicada para pacientes com ECOG 3.
D Efetuar duodenopancreatectomia parcial com linfadenectomia limitada, indicada apenas em pacientes com ECOG 2 e infiltração duodenal, como abordagem inicial de menor extensão.
E Manter cuidados paliativos clínicos e controle sintomático, sendo esta uma conduta compatível com pacientes em ECOG 4.

Homem de 60 anos, com diagnóstico de urticária crônica espontânea (UCE) há 8 meses, apresenta escore UAS7 = 25 após 4 semanas de tratamento contínuo com bilastina 20 mg/dia, com adesão adequada. Refere doença renal crônica (DRC) estágio 3a, com TFGe = 55 mL/min/1,73 m², função hepática normal e ausência de outras comorbidades. De acordo com as diretrizes internacionais EAACI/GA²LEN/WAO (2022) e considerando a farmacocinética dos anti-histamínicos H1 de segunda geração, o próximo passo terapêutico mais apropriado para controle da urticária desse paciente é

A aumentar a dose da bilastina para até 80 mg/dia.
B suspender a bilastina e iniciar omalizumabe 300 mg SC a cada 4 semanas.
C manter a bilastina 20 mg/dia e associar hidroxizina 25 mg à noite.
D substituir a bilastina por fexofenadina 180 mg duas vezes ao dia.
E iniciar prednisona 20 mg/dia por 5 dias para controle do prurido.

São ações da Portaria MS nº 529/2013:

I. garantir identificação correta do paciente, uso seguro de medicamentos;
II. criar Núcleos de Segurança do Paciente nos estabelecimentos de saúde;
III. instituir o Programa Nacional de Segurança do Paciente;
IV. criar protocolos locais apenas para infecção hospitalar.

Estão corretas:

A apenas II e III.
B apenas I, II e III.
C apenas I, III e IV.
D apenas II e IV.
E apenas I e IV.
Texto associado
Underground library in Warsaw metro invites commuters to trade scrolling for stories

In Warsaw’s Targówek district, a metro ride has become more than a daily routine. Now it offers a chance to escape into a story. Thanks to Metroteka, a newly opened subterranean library inside the Kondratowicza M2 metro station, commuters can now trade mindless scrolling for meaningful reading.
The 150-square-meter space is stocked with more than 16,000 books, all available through a fast self-checkout system. Visitors can also borrow laptops, sip complimentary coffee, and unwind in a cozy communal area, all while waiting for their train.
“Our dream is for Metroteka to become an educational and cultural center, and not just a place where you can borrow your books from,” says Grażyna StrzelczakBatkowska, deputy director of the Targówek library.

A modern space that breathes life into books
Metroteka’s design is as inviting as its mission. A lush hydroponic garden wall filled with herbs and flowers gives the underground space a breath of fresh air, literally. Basil, oregano, and other plants grow without soil or sunlight, infusing the library with an unexpected sense of vitality. The bookshelves, shaped like soft, undulating waves, add to the organic feel.
“I always joke that books are not made of glass,” Strzelczak-Batkowska says. “You can just pop in, grab a few, throw them on a self-checkout machine, and that’s it—you’re out on a new adventure.”

Aiming to reverse a national trend
Poland’s reading habits have been in steady decline for years. A 2024 survey by the National Library of Poland found that only 41 percent of respondents had read at least one book in the past year. According to Tomasz Makowski, director of the National Library, the legacy of war has shaped these numbers. During World War II, Poland lost 70 percent of its libraries.
“We had several generations that did not see their parents or grandparents in front of a wall of books,” Makowski says. “Reading is [also] not something associated with adulthood, but with schools, teachers, librarians, and usually mothers reading to children.
By placing literature in the path of everyday commuters, Metroteka hopes to shift that cultural perception.

An open invitation to all
For Makowski, the location is just as important as the books. “Opening a library in a metro station is like a dream for us,” he says. “Libraries should be beautiful and open; inviting, not intimidating. It’s not a shrine, but a place where you can spend time freely, take part in discussions, public consultations, or meet people.”
In the coming months, Metroteka plans to host author readings, workshops, and classes to further engage the community. Books can be returned either directly to the library or via parcel lockers outside the station, available around the clock.
As commuters pass through Kondratowicza station with coffee in hand and a novel tucked under one arm, Metroteka quietly transforms daily routines into cultural moments. By meeting people where they are, literally underground, the library isn’t just promoting reading. It’s redefining what public space can offer.

Source: https://www.optimistdaily.com/2025/09/underground-library-in-warsaw-metro-invites-commuters-to-trade-scrolling-for-stories/. Access on May 4th 2026.

You, an English teacher, decided to use the article “Underground library in Warsaw metro invites commuters to trade scrolling for stories” to practice speaking with your students. After studying the text, you give them some questions about reading habits, so they can ask their friends and interact while you observe. If you want to do this activity from a sociocultural approach, you have to prioritize

A the grammar structures they are using.
B their opinions on reading and libraries.
C their ability to memorize different parts of the article.
D if they know the correct pronunciation of the words they are using.
E if they are able to interact with each other, share ideas and values.
Órgão: Prefeitura de Vitória da Conquista Cargo: Professor de Ensino Fundamental - Área: Inglês Prova: Instituto AOCP - Prefeitura de Vitória da Conquista - Professor de Ensino Fundamental - Área: Inglês - 2026
Texto associado
Underground library in Warsaw metro invites commuters to trade scrolling for stories

In Warsaw’s Targówek district, a metro ride has become more than a daily routine. Now it offers a chance to escape into a story. Thanks to Metroteka, a newly opened subterranean library inside the Kondratowicza M2 metro station, commuters can now trade mindless scrolling for meaningful reading.
The 150-square-meter space is stocked with more than 16,000 books, all available through a fast self-checkout system. Visitors can also borrow laptops, sip complimentary coffee, and unwind in a cozy communal area, all while waiting for their train.
“Our dream is for Metroteka to become an educational and cultural center, and not just a place where you can borrow your books from,” says Grażyna StrzelczakBatkowska, deputy director of the Targówek library.

A modern space that breathes life into books
Metroteka’s design is as inviting as its mission. A lush hydroponic garden wall filled with herbs and flowers gives the underground space a breath of fresh air, literally. Basil, oregano, and other plants grow without soil or sunlight, infusing the library with an unexpected sense of vitality. The bookshelves, shaped like soft, undulating waves, add to the organic feel.
“I always joke that books are not made of glass,” Strzelczak-Batkowska says. “You can just pop in, grab a few, throw them on a self-checkout machine, and that’s it—you’re out on a new adventure.”

Aiming to reverse a national trend
Poland’s reading habits have been in steady decline for years. A 2024 survey by the National Library of Poland found that only 41 percent of respondents had read at least one book in the past year. According to Tomasz Makowski, director of the National Library, the legacy of war has shaped these numbers. During World War II, Poland lost 70 percent of its libraries.
“We had several generations that did not see their parents or grandparents in front of a wall of books,” Makowski says. “Reading is [also] not something associated with adulthood, but with schools, teachers, librarians, and usually mothers reading to children.
By placing literature in the path of everyday commuters, Metroteka hopes to shift that cultural perception.

An open invitation to all
For Makowski, the location is just as important as the books. “Opening a library in a metro station is like a dream for us,” he says. “Libraries should be beautiful and open; inviting, not intimidating. It’s not a shrine, but a place where you can spend time freely, take part in discussions, public consultations, or meet people.”
In the coming months, Metroteka plans to host author readings, workshops, and classes to further engage the community. Books can be returned either directly to the library or via parcel lockers outside the station, available around the clock.
As commuters pass through Kondratowicza station with coffee in hand and a novel tucked under one arm, Metroteka quietly transforms daily routines into cultural moments. By meeting people where they are, literally underground, the library isn’t just promoting reading. It’s redefining what public space can offer.

Source: https://www.optimistdaily.com/2025/09/underground-library-in-warsaw-metro-invites-commuters-to-trade-scrolling-for-stories/. Access on May 4th 2026.

Analyze the sentences below:

- […] a place where you can spend time freely […]
- Books can be returned either directly to the library […]
- Metroteka quietly transforms daily routines into cultural moments.
- By meeting people where they are, literally underground […]

The underlined words are all

A adverbs.
B adjectives.
C nouns.
D verbs.
E articles.
Órgão: Prefeitura de Vitória da Conquista Cargo: Professor de Ensino Fundamental - Área: Inglês Prova: Instituto AOCP - Prefeitura de Vitória da Conquista - Professor de Ensino Fundamental - Área: Inglês - 2026
Texto associado
Why art gallery visits may be one of the healthiest habits you can build

This year’s top Health stories celebrate the kind of progress that hits close to home: advances that help us live longer, feel better, and take care of one another. From mental health wins to medical innovations, these 2025 highlights are all about healing, hope, and human potential.

Most of us know the feeling of standing in front of a painting that makes us pause. Maybe it’s a burst of color that lifts our mood or a quiet scene that steadies the mind. Either way, a new study from King’s College London suggests that these moments are doing far more than sparking emotion. Researchers have found measurable evidence that viewing original art can support both mental health and long-term physical wellbeing.
Their findings point to something powerful: spending even a short amount of time with original artworks may reduce stress, improve emotional balance, and potentially contribute to a longer, healthier life. And the best part is that you do not need to be an art expert to benefit.

What the study actually measured
To explore the connection between art and health, researchers invited fifty healthy adults between the ages of eighteen and forty to take part in an experiment. One group visited The Courtauld Gallery in London, where they viewed original masterpieces by artists including Vincent van Gogh and Édouard Manet. A second group viewed high-quality reproductions in a non-gallery setting.

Participants wore sensors that tracked heart rate, skin temperature, and other subtle responses. They also provided saliva samples before and after the experience so researchers could measure changes in stress and inflammation.

The results were striking:
Cortisol, better known as the body’s primary stress hormone, fell by 22 percent among gallery visitors. Those who saw reproductions saw only an eight percent drop.
Pro-inflammatory cytokines decreased by 30 percent in the gallery group and 28 percent in the reproduction group.
Gallery visitors also showed signs of emotional engagement, including small drops in skin temperature and variation in heart-rate patterns.
These shifts matter because high cortisol and inflammation are linked to chronic conditions such as anxiety, heart disease, and diabetes. In other words, your quiet moment with an original painting could be supporting your long-term health in ways you cannot feel immediately.

Why original art matters even more
Although both groups experienced some positive changes, the impact was stronger for those who viewed original artworks. Researchers believe that the immersive environment of a gallery adds layers of sensory experience with elements that highlight space, scale, texture, and atmosphere. These aspects work together to deepen the body’s response.

Importantly, the researchers emphasized that the benefits appeared regardless of art knowledge or emotional intelligence. You do not need to understand an artist’s entire catalog or even consider yourself an “art person” to gain something meaningful.

A simple, accessible step toward wellbeing

The implications of this study reach beyond museum walls. These findings help pave the way for broader integration of art and wellbeing, offering a low-cost and accessible option for reducing loneliness, easing depression, and improving life satisfaction.

And while art may not replace clinical care, it can be a gentle, joyful tool to add to your wellness routine. The next time you find yourself lingering in front of a painting, know that your body is responding in ways that support you; calming, stimulating, and restoring at the same time.

Source: https://www.optimistdaily.com/2026/01/why-art-gallery-visits-may-be-one-of-the-healthiest-habits-you-can-build-2/. Access on May 4th 2026.

Consider the following excerpt from the article to answer question 47 (paragraphs 09 and 10).

“A simple, accessible step toward wellbeing The implications of this study reach beyond museum walls. These findings help pave the way for broader integration of art and wellbeing, offering a low-cost and accessible option for reducing loneliness, easing depression, and improving life satisfaction.

And while art may not replace clinical care, it can be a gentle, joyful tool to add to your wellness routine. The next time you find yourself lingering in front of a painting, know that your body is responding in ways that support you; calming, stimulating, and restoring at the same time.”

Choose the alternative that is completely correct about the underlined words in the context of the excerpt.

A yourself’ is being used as a reflexive pronoun in its plural form.
B ‘it’ is being used as an object pronoun, since it appears right after the main verb.
C ‘these’ and ‘this’ are being used as demonstrative pronouns, since they aren’t followed by a noun.
D The two uses of ‘you’ in the excerpt are, respectively, subject pronoun and object pronoun.
E The two uses of ‘your’ in the excerpt are, respectively, possessive adjective and possessive pronoun
Órgão: Prefeitura de Vitória da Conquista Cargo: Professor de Ensino Fundamental - Área: Inglês Prova: Instituto AOCP - Prefeitura de Vitória da Conquista - Professor de Ensino Fundamental - Área: Inglês - 2026

Na forma da Lei nº 8.112/1990, assinale a alternativa correta acerca das disposições sobre as vantagens e as indenizações que podem ser pagas aos servidores.

A Constituem indenizações ao servidor: ajuda de custo, diárias e transporte, sendo vedado o pagamento de auxílio moradia.
B A lei veda a incorporação das gratificações e dos adicionais ao vencimento ou provento do servidor.
C Para o pagamento da indenização na modalidade diária, o servidor faz jus ao recebimento, ainda que pendente regulamento dispondo sobre os valores e as condições para concessão da referida indenização.
D As vantagens pecuniárias poderão ser computadas, para efeito de concessão de outros acréscimos pecuniários ulteriores, ainda que sob o mesmo título ou idêntico fundamento.
E Além do vencimento, poderão ser pagas ao servidor, a título de vantagens, indenizações, gratificações e adicionais.
Órgão: Instituto Federal de Educação, Ciência e Tecnologia do Ceará Cargo: Tecnólogo - Área: Gestão Financeira Prova: Instituto AOCP - IFCE - Tecnólogo - Área: Gestão Financeira - 2026