1.Dễ
What is a Hartmann's procedure?
- AJoining the stomach directly to the small bowel
- BPlacing a stent in the bile duct
- CRemoval of the gallbladder through several small abdominal incisions
- DRemoval of part of the colon with an end colostomy and rectal stump
2.Dễ
Xét nghiệm máu nào thường dùng để chẩn đoán viêm tụy cấp?
- ANồng độ hormone kích thích tuyến giáp
- BLipase hoặc amylase trên 3 lần mức bình thường
- CBilirubin trên ba lần giới hạn trên bình thường
- DTroponin trên bách phân vị 99
3.Dễ
What is a common reason for giving a premedication before surgery?
- ATo treat the surgical wound in advance
- BTo make the patient hungry after surgery
- CTo replace the general anaesthetic
- DTo reduce anxiety
4.Trung bình
Which measure helps reduce the risk of delirium in an older surgical patient?
- AKeeping the room dark during the day
- BGiving a sleeping tablet every night
- CMoving them to a new bed space each night to reduce boredom
- DMaking sure they have their glasses and hearing aids
5.Trung bình
Which infection control measure is correct for a patient with C. difficile diarrhoea?
- AA face mask for the patient and visitors only
- BA shared bay, as long as alcohol gel is used after every contact
- CNo special measures once antibiotics have started
- DA single room with its own toilet, and soap-and-water handwashing
6.Trung bình
A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?
- AMigraine caused by hospital lighting
- BA side effect of the antibiotic
- CRaised blood pressure from pain
- DPost-dural puncture headache
7.Khó
A patient arrives in recovery with a temperature of 35,2 °C and is shivering. What is the most appropriate action?
- ARemove all blankets to let the body adjust
- BStart active warming and monitor the temperature
- CGive cold IV fluids to settle the shivering
- DSend the patient to the ward to warm up there under extra blankets
8.Khó
Một bệnh nhân có catheter ngoài màng cứng sau phẫu thuật bụng có huyết áp 82/48 mmHg, mạch 70/phút và bàn chân ấm. Đã loại trừ chảy máu. Nguyên nhân nhiều khả năng nhất là gì?
- ASốc phản vệ với thuốc tê
- BSốc giảm thể tích do mất máu
- CPhong bế giao cảm do catheter ngoài màng cứng
- DSốc tim sau phẫu thuật
Đáp án
- 1. D · Removal of part of the colon with an end colostomy and rectal stump
- 2. B · Lipase hoặc amylase trên 3 lần mức bình thường
- 3. D · To reduce anxiety
- 4. D · Making sure they have their glasses and hearing aids
- 5. D · A single room with its own toilet, and soap-and-water handwashing
- 6. D · Post-dural puncture headache
- 7. B · Start active warming and monitor the temperature
- 8. C · Phong bế giao cảm do catheter ngoài màng cứng
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.