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

Which feature is typical of an arterial leg ulcer?

1. AA shallow, wet wound around the ankle with warm, swollen skin
2. BA painless wound on the shin with normal pulses
3. CA blister on the heel with plenty of hair growth
4. DA painful, punched-out wound on a cold, pale foot

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo clean the stomach before the next meal
2. BTo keep it clear and stop drugs mixing with feed
3. CTo warm the tube so it is more comfortable
4. DTo check that the patient is not thirsty

What is the first aid for a dry chemical powder on the skin?

1. ARub it in with a wet cloth to spread it thinly over the skin
2. BAdd vinegar to neutralise it at once
3. CCover it with a tight dressing and wait
4. DBrush off the powder, then irrigate with plenty of water

Patients on immune checkpoint inhibitors may develop immune-related side effects. Which symptom should they report promptly?

1. ASlight hair thinning over months
2. BA small bruise after a knock
3. CNew diarrhoea or abdominal pain
4. DMild tiredness after a busy day

Nhận định nào mô tả đúng nhất sự dung nạp opioid?

1. ABệnh nhân đã bị dị ứng với thuốc
2. BThuốc không còn gây táo bón
3. CBệnh nhân thèm thuốc bắt buộc muốn dùng thêm
4. DTheo thời gian cần liều cao hơn để có cùng tác dụng

Which burn should usually be discussed with a specialist burns service even if it is small?

1. AA small superficial sunburn on the back
2. BA tiny burn on the forearm with redness only
3. CA healed burn scar from many years ago
4. DA partial-thickness burn on the hand

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

1. AHyperglycaemia because the stomach is empty
2. BHypoglycaemia if insulin continues without the feed
3. CDiarrhoea from stopping the feed suddenly
4. DRefeeding syndrome from too much glucose

A worker has a hydrofluoric acid burn on the hand and severe pain. After irrigation with water, which specific treatment is commonly applied?

1. AIce cubes wrapped in a cloth
2. BSilver sulfadiazine cream
3. CSodium bicarbonate paste
4. DCalcium gluconate gel