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

What is healing by secondary intention?

1. AA wound that heals without any new tissue
2. BA wound closed a few days after it was left open
3. CA wound left open that heals from the base upwards
4. DA wound closed with sutures straight after surgery

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A9%
2. B36%
3. C18%
4. D27%

What does dysphagia mean?

1. APainful passing of urine
2. BIndigestion after fatty food
3. CDifficulty swallowing
4. DDifficulty speaking clearly

Which presentation fits acute diverticulitis?

1. ALeft lower abdominal pain, fever and a raised CRP
2. BCentral chest pain spreading to the left arm
3. CRight upper abdominal pain after fatty meals
4. DPainless jaundice with a palpable gallbladder

Which burn should usually be discussed with a specialist burns service even if it is small?

1. AA small superficial sunburn on the back
2. BA healed burn scar from many years ago
3. CA partial-thickness burn on the hand
4. DA tiny burn on the forearm with redness only

In the SBAR communication tool, what belongs under "A"?

1. AThe nurse's assessment of what the problem is
2. BThe patient's admission date only
3. CA list of the patient's allergies only
4. DThe address and phone number of the patient's next of kin

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. ATell her the surgery must be cancelled for a month
2. BGive a double dose of vitamin K by mouth without waiting for a prescription
3. CProceed with the usual checklist and say nothing
4. DInform the surgical and anaesthetic teams, who will check the INR

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. AGive an antacid and reassess the pain in an hour
2. BRecord a 12-lead ECG and escalate as possible cardiac pain
3. CAdvise the patient to avoid spicy food at future meals
4. DBook a routine endoscopy for later in the week