Phiếu bài tập Nội–ngoại khoa: tiêu hóa, quanh phẫu thuật và ung thư có đáp án

What is a keloid scar?

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

Which signs suggest a surgical site infection?

1. AMild bruising around the wound that is fading a little each day
2. BIncreasing pain, redness, swelling, heat and pus
3. CA dry wound edge with a thin scab
4. DMild itching as the wound heals

What is lymphoedema?

1. ASwelling from poor lymph drainage, for example after node removal
2. BSwelling from a broken bone in the arm
3. CFluid in the lungs from heart failure
4. DInflammation of the lymph nodes in the neck and armpits from a virus

Dấu hiệu sớm nhất của tăng thân nhiệt ác tính trong gây mê thường là gì?

1. AThân nhiệt giảm đều
2. BNhịp tim chậm dần và huyết áp thấp
3. CCO₂ cuối thì thở ra tăng không giải thích được
4. DDa đỏ bừng với CO₂ giảm

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA test for coeliac disease
2. BScreening for tuberculosis
3. CA bone density scan
4. DA test of colour vision

Which group of findings suggests obstruction of the bile duct?

1. APale urine, dark stools and a flapping tremor
2. BNormal skin colour with diarrhoea and fever
3. CRed urine, black stools and a high blood glucose
4. DJaundice, dark urine, pale stools and itching

On day 3 after admission, a patient with alcohol dependence becomes confused, with hallucinations, sweating, tremor, fever and tachycardia. What is the most likely cause?

1. ADelirium tremens from alcohol withdrawal
2. BAn allergic reaction to hospital food
3. CNormal anxiety about being in hospital
4. DHepatitis A caught on the ward

After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?

1. ANormal concentrated urine; restrict fluids
2. BMyoglobin from muscle damage; a higher urine output target
3. CBleeding from the bladder; stop all fluids
4. DA urinary infection; send a sample and wait for the result