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

What does the ASA physical status classification describe?

1. AThe type of anaesthetic drug the surgeon prefers
2. BThe patient's pain score after surgery
3. CThe exact length of the planned operation
4. DThe patient's general health before anaesthesia

Vì sao bệnh nhân được yêu cầu nhịn ăn trước gây mê toàn thân?

1. AĐể giảm nguy cơ hít sặc chất trong dạ dày
2. BĐể giảm chảy máu trong cuộc mổ
3. CĐể giữ đường huyết cao hơn bình thường
4. DĐể ruột dễ quan sát hơn trên phim chụp

If hair must be removed before surgery, which method is recommended?

1. AA razor shave the night before surgery
2. BPulling the hairs out with tweezers
3. CElectric clippers on the day of surgery
4. DA wax strip several days before surgery

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. ARub the site firmly afterwards to help absorption
2. BInject into a vein in the back of the hand
3. CExpel the air bubble first and inject into the deltoid muscle
4. DLeave the air bubble in and inject into a skin fold

Which lung problem is a known toxicity of bleomycin?

1. AAsthma from pollen
2. BPulmonary fibrosis
3. CPneumothorax from coughing
4. DLung cancer within weeks

After a spinal anaesthetic, which nursing check is particularly important?

1. AReturn of leg sensation and movement, and passing urine
2. BBlood glucose every 15 minutes overnight
3. CPupil reaction every five minutes for the next full day
4. DPeak flow before and after each meal

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

1. AWash it with alcohol and leave it uncovered
2. BApply a hot water bottle to improve the circulation
3. CTreat it as a possible burn, report it and complete an incident form
4. DIgnore it because skin changes after surgery are normal and expected to fade

A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?

1. AIt is only a muscle strain from walking
2. BCancer and its treatment greatly increase clot risk
3. CCalf swelling is a normal effect of chemotherapy
4. DThe swelling shows the cancer has gone