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

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

1. AUp to 10 minutes before
2. BUp to 2 hours before
3. CUp to 24 hours before
4. DUp to 12 hours before

What is the main purpose of a surgical wound drain?

1. ATo measure the patient's temperature
2. BTo feed the patient after surgery
3. CTo give IV fluids and antibiotics straight into the wound bed
4. DTo remove fluid or blood that collects at the operation site

Which is an example of a non-drug method of pain relief?

1. AA lidocaine patch
2. BA morphine injection into the thigh
3. CAn ibuprofen tablet with food
4. DRelaxation and distraction

Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?

1. ATo confirm that the vaccine produced immunity
2. BTo decide whether they need a liver biopsy
3. CTo measure liver damage caused by the vaccine
4. DTo check whether they caught hepatitis B from the vaccine

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AA very low-protein diet for the rest of their life to lower ammonia
2. BNo food at all until the confusion settles
3. CNormal protein and enough calories, with a late-evening snack
4. DOnly clear fluids for several weeks

How are skin staples usually removed from a healed incision?

1. AAll staples at once by pulling each one straight up from the skin
2. BOnly the staples at each end, leaving the others for good
3. CAlternate staples first, then the rest if the wound holds
4. DThe staples are left in permanently under the skin

A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?

1. AA fistula between the colon and the bladder
2. BA simple lower urinary tract infection
3. CBowel preparation that was taken too quickly
4. DA kidney stone blocking the ureter

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. AA haematoma pressing on the airway
2. BAn allergy to the wound dressing
3. CLow blood calcium from the surgery
4. DNormal swelling after neck surgery