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

What should patients usually be told about hair loss from chemotherapy?

1. AIt happens with every type of cancer treatment, including surgery
2. BIt is usually temporary, and hair grows back afterwards
3. CIt means the treatment is not working
4. DIt is always permanent with every drug

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 5 mL/kg per hour
2. BAbout 0,5 mL/kg per hour
3. CAbout 50 mL/kg per hour
4. DAbout 0,05 mL/kg per hour

Which sign is typical of hepatic encephalopathy?

1. AA fine rash over the chest and arms
2. BA drooping eyelid on one side
3. CA flapping tremor of the outstretched hands
4. DA stiff neck with sensitivity to light

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ADisease that is cured by removing the colon
2. BInflammation limited to the rectal lining
3. CBleeding only from the rectum
4. DFistulas between the bowel and other organs

Which advice is appropriate for a patient with a very low platelet count?

1. AUse a soft toothbrush and an electric razor
2. BUse a razor blade for shaving every day
3. CTake aspirin regularly for headaches
4. DFloss hard every day to prevent gum disease

What is a Curling's ulcer?

1. AA leg ulcer caused by venous disease after long bed rest
2. BA stress ulcer of the stomach or duodenum after a major burn
3. CA pressure ulcer under a splint that has been left on too long
4. DA burn on the sole of the foot

A patient's platelet count is 18 × 10⁹/L (18,000/µL). Which order should the nurse question?

1. AOral paracetamol for headache
2. BA soft diet with mouthwashes
3. CDaily full blood count
4. DAn intramuscular injection

On day 5 after hip surgery, a patient suddenly becomes breathless, with sharp chest pain on breathing in, a pulse of 120/min and SpO₂ 89%. What should the nurse suspect and do first?

1. AAnxiety; give reassurance and repeat the observations in an hour's time
2. BPulmonary embolism; sit up, give oxygen and call for urgent help
3. CWound infection; take a wound swab and wait for results
4. DSimple atelectasis; encourage walking around the ward