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

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AHair loss and low white cell count
2. BWeight gain and high potassium only
3. CStomach bleeding and kidney injury
4. DConstipation and pinpoint pupils

What is diverticulosis?

1. AA twist of the sigmoid colon on itself
2. BInflammation of the whole small bowel wall
3. CA tumour growing inside the rectum
4. DSmall pouches in the wall of the colon

Which sign suggests acute cholecystitis?

1. ABruising around the umbilicus and over both flanks of the abdomen
2. BA flapping tremor of the hands when the arms are held out
3. CPain in the left lower abdomen when the right side is pressed
4. DPain that stops a deep breath when the right upper abdomen is pressed

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. ACo-codamol must be stopped a week before any paracetamol
2. BParacetamol and codeine cause a severe allergic reaction when combined
3. CIt already contains paracetamol, so overdose could occur
4. DCo-codamol stops paracetamol from working

Which is a recognised risk of long-term proton pump inhibitor use?

1. AHyperkalaemia
2. BHypomagnesaemia
3. CHypernatraemia
4. DHypercalcaemia

How should pancreatic enzyme replacement capsules usually be taken?

1. AWith every meal and snack
2. BOne hour after meals, on an empty stomach
3. COnly on days with abdominal pain
4. DOnce a day at bedtime

Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?

1. AContinue feeding and apply a thicker dressing
2. BStop the feed at once and seek urgent medical advice
3. CIncrease the feed rate to improve nutrition
4. DGive the next medicines through the tube as usual

A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?

1. A"I'll change the injection site each day."
2. B"I'll report any unusual bruising or bleeding."
3. C"I'll rub the area afterwards to spread the medicine."
4. D"I'll put the used syringe in the sharps bin."