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

How does the pain of acute appendicitis typically progress?

1. AIt starts around the umbilicus, then moves to the right lower abdomen
2. BIt starts in the left lower abdomen, then spreads to the back
3. CIt stays in the upper abdomen and eases after meals
4. DIt starts in the right shoulder, then moves to the chest

What is pulmonary aspiration?

1. ABreathing too fast after surgery
2. BInhaling stomach contents or other material into the lungs
3. CA collapsed lung after a chest drain
4. DRemoving fluid from the chest with a needle through the ribs

Which electrolyte typically falls in refeeding syndrome?

1. ASodium
2. BChloride
3. CPhosphate
4. DCalcium

Which treatment often relieves pain from a bone metastasis?

1. AComplete bed rest for a month
2. BIron supplements by mouth for several months
3. CPalliative radiotherapy to the area
4. DA diet low in calcium and vitamin D

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. AProne, with the head lower than the feet
2. BOn the right side, to press on the puncture site
3. COn the left side, to drain the liver
4. DSitting upright, with the legs over the edge of the bed

Nhận định nào về cho ăn trong viêm tụy cấp nhẹ phù hợp hướng dẫn hiện nay?

1. ACó thể cho ăn đường miệng sớm trở lại, khi đau và buồn nôn cho phép
2. BBệnh nhân chỉ nên được nuôi bằng dinh dưỡng tĩnh mạch
3. CNhịn ăn cho đến khi amylase về bình thường
4. DBệnh nhân phải nhịn ăn uống ít nhất ba tuần để tụy nghỉ

At the end of an operation, the final count shows one swab missing. What should happen?

1. ARecord the count as correct to avoid a delay
2. BTell the surgeon, search, and X-ray if it is not found
3. CClose the wound, as the swab was probably thrown away
4. DLet the patient leave and search the theatre later

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. AAsk the family to sign a new consent form
2. BSupport the patient's decision and help the team talk with the family
3. CTell the patient that stopping is not allowed
4. DContinue treatment because the family has asked for it