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

What is the main serious risk of paracetamol (acetaminophen) overdose?

1. AHearing loss
2. BStomach bleeding
3. CRespiratory depression
4. DLiver damage

Khi nào thường nên đổ túi hậu môn nhân tạo?

1. AMỗi ngày một lần, vào cùng một giờ
2. BChỉ khi bắt đầu rò rỉ
3. CKhi đầy một phần ba đến một nửa
4. DChỉ khi đầy ắp đến miệng

What is a PEG tube?

1. AA feeding tube placed through the abdominal wall into the stomach
2. BA thin tube passed through the nose and down into the small bowel area
3. CA catheter placed in a large vein for medicines
4. DA drain placed in the chest to remove air

Which statement about pain relief in acute pancreatitis is correct?

1. AOpioids can be used, and good analgesia is a priority
2. BOpioids must never be used in pancreatitis
3. COnly paracetamol may be given
4. DPain relief should be withheld until the diagnosis is certain

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AEat only liquids until the stoma is removed
2. BDrink as little fluid as possible to reduce output
3. CAvoid all fruit and vegetables for the rest of their life
4. DEat a normal, balanced diet and introduce foods gradually

Which lung problem is a known toxicity of bleomycin?

1. APulmonary fibrosis
2. BPneumothorax from coughing
3. CAsthma from pollen
4. DLung cancer within weeks

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

1. APost-ERCP pancreatitis
2. BHepatitis B infection
3. CBiliary colic from a new stone
4. DAcute appendicitis

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AFluid levels in the bladder on an ultrasound scan
2. BA raised serum lipase three times the upper limit
3. CTall, peaked T waves on a 12-lead ECG
4. DFree air under the diaphragm on an erect chest X-ray