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

What is the main purpose of a biopsy when cancer is suspected?

1. ATo remove all the cancer at once
2. BTo give chemotherapy directly into the tumour
3. CTo measure the patient's blood count
4. DTo confirm the diagnosis by examining tissue

In TNM staging of cancer, what does "N" describe?

1. ASpread to nearby lymph nodes
2. BThe number of tumours in the body
3. CThe nerve damage caused by the tumour
4. DThe new cells formed after treatment

Theo một định nghĩa được dùng rộng rãi, ai là người đánh giá đau của bệnh nhân tốt nhất?

1. AĐiều dưỡng
2. BBệnh nhân
3. CPhẫu thuật viên
4. DNgười nhà

Which statement about pain relief in acute pancreatitis is correct?

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

A dying patient can no longer drink. Which mouth care is most appropriate?

1. AFrequent, gentle moistening of the mouth and lips
2. BLemon and glycerine swabs every hour to stimulate saliva
3. CBrushing hard with a stiff toothbrush twice a day
4. DNo mouth care, to avoid disturbing the patient

Which liver function test pattern suggests bile duct obstruction?

1. AHigh bilirubin with a markedly raised ALP and GGT
2. BVery high ALT with a normal bilirubin only
3. CA low albumin with all other results normal
4. DNormal bilirubin with a low ALP and low GGT

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

1. AGive an opioid to calm the patient's breathing and reduce anxiety
2. BCall for help, give 100% oxygen and use a jaw thrust
3. CWait a few minutes to see if it passes
4. DSit the patient up and give a drink of water

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

1. AAcute appendicitis
2. BPost-ERCP pancreatitis
3. CHepatitis B infection
4. DBiliary colic from a new stone