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

Which signs suggest peritonitis?

1. AA soft abdomen with no pain on pressing
2. BA small, painless lump near the umbilicus
3. CGuarding, rebound tenderness and a rigid abdomen
4. DLoud bowel sounds with a hungry feeling

Which electrolyte typically falls in refeeding syndrome?

1. ACalcium
2. BSodium
3. CChloride
4. DPhosphate

Which drug group is commonly used to prevent venous thromboembolism after surgery?

1. ANon-steroidal anti-inflammatory drugs
2. BLoop diuretics
3. CLow molecular weight heparins
4. DProton pump inhibitors

Why are many patients screened for MRSA before planned surgery?

1. ATo check whether the patient has had a flu vaccine
2. BSo that surgery can be cancelled for all positive patients
3. CTo decide which anaesthetic drug to use
4. DSo that carriers can be decolonised to reduce infection

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

1. ANhịp tim chậm dần và huyết áp thấp
2. BThân nhiệt giảm đều
3. CDa đỏ bừng với CO₂ giảm
4. DCO₂ cuối thì thở ra tăng không giải thích được

What are anticipatory ("just in case") medicines at the end of life usually prescribed for?

1. AHigh blood pressure, high cholesterol and diabetes
2. BWeight gain and appetite stimulation
3. CInfection prevention and vaccination
4. DPain, nausea, agitation and respiratory secretions

A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?

1. ACalf swelling is a normal effect of chemotherapy
2. BCancer and its treatment greatly increase clot risk
3. CIt is only a muscle strain from walking
4. DThe swelling shows the cancer has gone

A patient with bone metastases is starting regular zoledronic acid. Which advice is important?

1. ATake extra calcium only on the day of infusion
2. BAvoid all physical activity for six months
3. CHave a dental check and report jaw pain or loose teeth
4. DStop drinking all fluids on the day of each infusion