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

What is an ERCP?

1. AA blood test that measures pancreatic enzymes
2. BA CT scan of the abdomen without contrast
3. CAn endoscopic test to view and treat the bile and pancreatic ducts
4. DAn open operation to remove the gallbladder

When should pain be reassessed after giving analgesia?

1. AOnly at the next routine observation round the next day
2. BWhen the drug is expected to have taken effect
3. COnly if the patient asks for more analgesia
4. DNever, as one assessment is enough

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AOne episode of loose stools after a takeaway meal
2. BA lasting change in bowel habit with rectal bleeding
3. CMild bloating before a period
4. DOccasional wind and rumbling after eating a meal of beans

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

1. AStop all pain relief for the first three days
2. BAvoid sleeping at all on the night after surgery
3. CBring their CPAP machine to use after surgery
4. DLie flat on their back for the first night

Which treatment often relieves pain from a bone metastasis?

1. APalliative radiotherapy to the area
2. BA diet low in calcium and vitamin D
3. CComplete bed rest for a month
4. DIron supplements by mouth for several months

Which rule about the sterile field is correct?

1. AA sterile pack stays sterile even when it is wet
2. BThe area below a gowned person's waist is sterile
3. CIf sterility is in doubt, the item is treated as contaminated
4. DSterile items can be passed across a non-sterile area freely

A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and says they feel completely well. Which statement is correct?

1. ATreatment is not needed if the patient has not vomited
2. BLiver damage after paracetamol occurs only within the first hour or so
3. CLiver damage may still develop, and appears only days later
4. DFeeling well means the dose was too small to cause harm

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

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