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

What does a faecal immunochemical test (FIT) detect?

1. AHidden human blood in the stool
2. BParasites and their eggs in the stool
3. CFat in the stool from poor absorption
4. DBacteria that cause food poisoning

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AStomach bleeding and kidney injury
2. BHair loss and low white cell count
3. CWeight gain and high potassium only
4. DConstipation and pinpoint pupils

What is diverticulosis?

1. ASmall pouches in the wall of the colon
2. BA tumour growing inside the rectum
3. CA twist of the sigmoid colon on itself
4. DInflammation of the whole small bowel wall

Which monitoring is especially important for a patient receiving parenteral nutrition?

1. ABowel sounds and stool colour only
2. BPeak flow and visual acuity
3. CPupil size and limb strength
4. DBlood glucose and signs of line infection

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt is faster to use than any other method of estimation
2. BIt counts superficial burns as well
3. CIt is used only for burns of the hands
4. DIt adjusts for body proportions that change with age

Vì sao giảm đau đều đặn (theo lịch) thường được ưu tiên hơn liều "khi cần" trong những ngày đầu sau phẫu thuật lớn?

1. ALoại bỏ nhu cầu đánh giá đau của bệnh nhân trong ngày
2. BGiữ nồng độ thuốc ổn định và phòng các đỉnh đau nặng
3. CCho phép dùng liều cao hơn giới hạn tối đa mỗi ngày
4. DHoàn toàn ngăn mọi tác dụng phụ của opioid

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. APain may be undertreated; reassess and ask for a review of the plan
2. BThe patient needs only distraction and no change in drugs
3. CThe patient is exaggerating, so the pain scores should be ignored for now
4. DThe patient is addicted and should have analgesia withheld

On day 3 after admission, a patient with alcohol dependence becomes confused, with hallucinations, sweating, tremor, fever and tachycardia. What is the most likely cause?

1. ADelirium tremens from alcohol withdrawal
2. BHepatitis A caught on the ward
3. CAn allergic reaction to hospital food
4. DNormal anxiety about being in hospital