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

How is hepatitis B mainly spread?

1. AOnly by coughing and sneezing
2. BOnly by eating undercooked shellfish from polluted water
3. CThrough touching door handles and shaking hands
4. DThrough blood, sexual contact and from mother to baby

Cổ trướng (ascites) là gì?

1. ADịch trong ổ phúc mạc
2. BDịch trong khoang màng phổi quanh phổi
3. CTắc ống mật chủ
4. DSưng cả hai cổ chân

What is the main aim of palliative care?

1. AOnly providing care in the last hour of life
2. BCuring the disease at any cost, whatever the side effects
3. CImproving quality of life for people with serious illness
4. DReplacing all other medical treatment

Which is correct when caring for a patient with a PICC line?

1. AAvoid taking blood pressure on the arm with the line
2. BFlush the line only when it blocks
3. CUse the PICC arm for heavy lifting to keep it flexible
4. DLeave the external length unchecked once it is placed

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

1. AOn the right side, to press on the puncture site
2. BProne, with the head lower than the feet
3. CSitting upright, with the legs over the edge of the bed
4. DOn the left side, to drain the liver

Why are antiemetics usually given before chemotherapy starts?

1. AThey stop the chemotherapy from causing hair loss and mouth sores
2. BThey cannot be given once nausea has started
3. CAntiemetics make the chemotherapy work better
4. DPreventing nausea works better than treating it later

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

1. AHyperglycaemia because the stomach is empty
2. BHypoglycaemia if insulin continues without the feed
3. CRefeeding syndrome from too much glucose
4. DDiarrhoea from stopping the feed suddenly

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AMore warfarin to stabilise the INR
2. BOral aspirin to balance the clotting system quickly
3. CProtamine sulfate on its own
4. DProthrombin complex concentrate with IV vitamin K