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

Which lifestyle advice helps reduce night-time reflux symptoms?

1. ANo food for 3 hours before bed, with the head of the bed raised
2. BSleep flat on several pillows placed under the knees
3. CHave the largest meal of the day just before going to bed to aid sleep
4. DDrink a large glass of fizzy water before lying down

Which sign suggests acute cholecystitis?

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

Tác dụng phụ nào của opioid thường không giảm khi dùng tiếp?

1. ABuồn nôn và nôn
2. BNgứa
3. CTáo bón
4. DAn thần

When breaking bad news, what is the first step in frameworks such as SPIKES?

1. AAsk the family to decide what the patient should be told
2. BSet up a private setting with enough time
3. CGive all treatment options before checking understanding
4. DGive the diagnosis as quickly as possible in the corridor

What is a Curling's ulcer?

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

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

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

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

1. AGive a large drink to wash the food through
2. BAsk the patient to try to vomit to empty the stomach
3. CInform the anaesthetist, as surgery may be delayed
4. DSay nothing, since toast is a light food

During a nasogastric feed, a patient starts coughing and SpO₂ falls from 96% to 89%. What should the nurse do first?

1. AIncrease the feed rate to finish it sooner
2. BLay the patient flat to help them rest
3. CGive a drink of water to clear the throat
4. DStop the feed and assess the airway and breathing