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

Which statement about hepatitis C is correct?

1. AIt can be treated only with a liver transplant
2. BIt is spread mainly by food, and a vaccine is given to babies
3. CIt is spread mainly through blood, and there is no vaccine
4. DIt always clears by itself within two weeks

Thăm dò nào thường được dùng để tìm và điều trị nguồn xuất huyết tiêu hóa trên?

1. ANội soi tiêu hóa trên
2. BX-quang bụng không chuẩn bị
3. CNội soi đại tràng
4. DChụp nuốt barium

Đi ngoài ra máu đỏ tươi (haematochezia) là gì?

1. AHo ra đờm lẫn máu đỏ tươi
2. BMáu đỏ tươi ra từ trực tràng
3. CPhân đen, như nhựa đường, mùi hôi
4. DNôn ra máu đỏ tươi

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

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

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt increases gut movement against the blockage
2. BIt blocks the effect of all opioids
3. CIt always causes severe diarrhoea
4. DIt makes the bowel stop moving completely

Which advice helps prevent dumping syndrome after gastrectomy?

1. AA high-sugar diet with fruit juice to keep energy levels up
2. BThree large meals a day with plenty of sweet drinks with each meal
3. CSmall, frequent meals low in simple sugars, with fluids between meals
4. DSit upright and walk briskly straight after every meal

On day 5 after bowel resection, a patient has a fever, tachycardia and worsening abdominal pain, and the drain contains brown, faeculent fluid. What is most likely?

1. AAn anastomotic leak
2. BA normal day 5 recovery
3. CPostoperative constipation
4. DA urinary tract infection

A patient with a leg ulcer has an ABPI of 0,5. The doctor's plan mentions starting strong compression bandages. What should the nurse do?

1. AApply compression but only at night
2. BApply the strongest compression to speed healing
3. CApply compression and elevate the leg above the heart all day
4. DWithhold strong compression and discuss urgent vascular referral