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

What should patients usually be told about hair loss from chemotherapy?

1. AIt is always permanent with every drug
2. BIt is usually temporary, and hair grows back afterwards
3. CIt happens with every type of cancer treatment, including surgery
4. DIt means the treatment is not working

Why does chemotherapy often affect the bone marrow, gut lining and hair?

1. AThese tissues are the main sites of cancer
2. BThese tissues store the chemotherapy drugs
3. CThese tissues contain rapidly dividing cells
4. DThese tissues have no blood supply

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. ANo, they are not radioactive and can be with family
2. BOnly their clothes are radioactive afterwards
3. CYes, so they must avoid all contact with children and pregnant women
4. DYes, for one month after each session

Why is thiamine given to patients with alcohol dependence admitted to hospital?

1. ATo treat the cirrhosis directly
2. BTo prevent Wernicke's encephalopathy
3. CTo reduce the craving for alcohol
4. DTo prevent bleeding from varices

Which advice helps a patient with haemorrhoids?

1. AEat more fibre, drink enough fluid and avoid straining
2. BEat less fibre so that stools are smaller
3. CSit on the toilet for long periods to empty fully
4. DTake a codeine-based painkiller every day

Which practice is correct when giving parenteral nutrition through a central line?

1. ALet the bag hang at room temperature for several days
2. BGive other IV drugs through the same lumen to save time
3. CUse a dedicated lumen and strict aseptic technique
4. DDisconnect and reconnect the line without cleaning the hub

A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?

1. A"I'll take my enzyme capsules at bedtime."
2. B"I should not drink any alcohol."
3. C"I'll report increased thirst or passing urine more often."
4. D"Oily, floating stools may mean my dose needs changing."

During burn resuscitation, a 70 kg adult's urine output has been 120 mL/h for 3 hours, and the face and limbs are very oedematous. What should the nurse do?

1. AIncrease the fluid rate to keep the output high
2. BDiscuss reducing the fluid rate with the team
3. CGive a diuretic without discussing it
4. DStop all IV fluids completely and remove the catheter