21-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 THI LAM SANG UNG BUOU Y4 - Y2019 DOT 2 50 cau - 16/01/2023 - NHOM LS BOT 4,5,6 CHON CAU DUNG NHAT: Khi tigp can bénh ly phu khoa, tham khém BN ba ng mé vit ta PHAI ..2 * (1 Diém) chon md vit dya vao kich thudéc am hé, luén dat mé vit nm nghiéng 45 dé vi day la cach dat md vit t6i vu nhat chon mé vit dya vao tién cén sinh dé, sinh nhiéu an mé vit dt ngang, chua sinh mé vit dat nghiéng 45 46 chon mé vit dya véo tién cn quan hé, quan hé nhigu lan mé vit dat thing doc, cha quan hé mo vit dat ngang chon mé vit dya vao thé trang, luén dat mé vit vi tri hudng 6-12g, ¢6 gang cham vao 16 tidy va hom thuyén hitps:forms. office. comipagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMSp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 1/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Trong thy hanh lam sang tai Bénh vién Ung Budu va Khoa Cham séc giam n he, éé giam dau cho nhiing bénh nhan ung thu cac BS sé 4p dung? * (1 Diém) Thang giam dau nam bac cua BO Y té Viet Nam Khéng ap dung cc bac thang ma sé linh hoat giam dau theo tiing truéing hop. Thang giam dau hai bac cia T6 chic Y té thé gidi Thang giém dau ba bac cla Té chitc V té thé gidi Hién nay, mé thtic diéu tri CHINH cua bénh LYMPHOMA Ia? * (1 Diém) Héa xa tri dng thai Phau thuat Hoa tri Xa tri HO VA TEN SINH VIEN * LE HOANG YEN hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02.WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 212721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Tai Khoa Ngoai 2, em gap mét BN nam, 48 tudi, BN ké cdch nhap vién 2 than g bat dau dau bung 4m i vung ha sun (P) lan thugng vi, an uéng khéng ng ‘on miéng, day bung, sut 10kg/2 thang. Ti€n can: BN udng bia mdi ngay (khong ré lung), hut thudc la 1 géi/ngay tr ‘ong 20 nam, BN ndi trudc day co di xét nghiém siéu vi B phat hién nhiém nh ung khéng diéu tri. Kham LS: KPS 90, vang da vang mat, an dau ha su@n (P), chua ghi nhan cac t riéu chting co nang, thuc thé bat thudng khac. Em hay dé nghi nhting can lam sang TOI UU can lam TRUGC TIEN dé CHA N DOAN XAC BINH BENH? * (1 Biém) BN cé6 tién can 16 rang nén chi can lam thém AFP, siéu 4m bung AFP, chup CT/MRI ving bung cé tiém thudc Siéu 4m byng, sau do bat budc sinh thiét khéi u & gan Chup CT/MRI ving bung c6 tiém thuéc, sau d6 bat budc sinh thiét khéi u gan Theo AJCC phién ban 8, khi chan doan giai doan cho nhiing BN sau PHAU T HUAT tai cac Khoa Ngoai, ta sé thém tién t6 nao vao trudc TN? (vi du cho mét tru&ng hop TxNxMy) * (1 Diém) CTxNxMx ypTeNxMx pTxNxMx yeTxNxMx hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 3/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Em hay cho biét phuong tién can lam sang HINH ANH HQC nao dugc xem | 8 T61 UU NHAT, gitip danh gid tén thuong 6 nhiing BN ung thu giai doan tr & c6 nghi ngé di cin NAO ? * (1 iém) MRI ndo cé tiém thudc tugng phan PET/CT toan than CT ndo 6 tiém thuée cén quang Tat cé cdc phudng tién trén du cé gia tri nhu nhau CHON CAU DUNG NHAT: Nguyén tac diéu tri ung thu * (1 Diém) Tat cd déu sai Héa tri luén la mé thie duy nhat cho BN giai doan tré Phau tri ludn 18 mé thie digu tej dau tién trudc hét, chi cn BN con khée 18 phai ph’u thuat iu tri BN ung thu cn phai héi chain lién chuyén khoa (Multidisciplinary Tumor Board) hitps:forms. office. com/pagesiesponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL smUNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 4/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Mét bénh ly néi khoa THUONG GAP nhung la yéu t6 nguy co CAO clia mét bénh UNG THU. Theo mét nghién cifu gan day, trong 100 bénh nhan mdi c han dodn ... sau 3 nam sé cé 1 bénh nhan dugc chan dodn mac ung thu... va cif 1 trong 4 bénh nhan mac ung thw... c6 tién can bénh .... Em hay cho biét tén cua bénh ly n@i khoa va bénh ly ung thu nay? * (1 Diém) Vim gan siu vi B; Ung thu gan Viém loét da day; Ung thu da day Hen phé quan; Ung thu phi ‘Di théo dudng; Ung thu tuy Hign nay, khi BN duge chan doan Ung thu CO TU CUNG giai doan IIB tré di sé dude diéu tri 6 (nhiing) khoa nao tai BV Ung Budu TPHCN? * (1 Diém) Xa tri phy khoa Xa tri phy khoa, Néi phy khoa, phéi Ngoai phu khoa Ngoai phy khoa, Xa tri phy khoa, Néi phy khoa, phéi hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWdrE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 5/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Khi tigp cn mét khéi viing 6, dé xac dinh day la khdi thudc tuyén gidp hay hach cé, ta cn tham kham xdc dinh? * (1 Biém) Cé $6 dude cule dudi ca khéi ving cé khéng? Tat c déu dung Vi tri cia khdi ving cé Tinh chat di déng theo nhip nust ctia khdi vung ¢6 Hién nay, tai khoa CHAM SOC GIAM NHE - BV Ung Budu TPHCM, dang trié n khai mét hoat déng cham séc tai nha nhiing bénh nhan ung thu nang giai doan cudi déi khong thé dén kham va diéu tri tai bénh vién, em hay cho bié t t€n chudng trinh dé? * (1 Diém) PalliativeCare WeCare HomeCare HospiceCare hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02qXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 5/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Bn ni, 51 tudi, dén kham vi di cau ra mau khoang 4 thang, di cau khé tang dan, dau bung &m i ving hé chau (T) va ha vi Lam sang: KPS 90, da niém hdng nhat, hach cé + hach ben khéng so cham. Kham hau mén truc trang: co vong hau mén hoat déng tét, céch bo hau m 6n 6 cm, cé khéi dang sti chiém gan tron chu vi lang tryc trang, khé dua ng 6n tay qua dude, khéng sé cham duge cuc trén, nit gang it mau dé tudi Chan doan SO BO ctia BN tai thai diém nay? * (1 Diém) Theo déi ung thu truc tring gitta-thap Theo dai ung thu trye trang gitta Theo déi ung thu tryc trang thép Theo di ung thu tryc trang cao BN ni, 48 tudi, dén kham vi mot khdi 6 vu (P) Lam sang: tham kham ghi nhan khdi vii (P) vi tri 9g, cach ntim vi 3cm, kt#4c m, sugng chac, di dong, bé mat da vu binh thuéng + nach (P) cd vai khdi hac h kt#2cm, chac, dinh, hach c6 khéng s& cham, chua ghi nhan cac triéu ching cd nang va thyc thé bat thudng khac. BN dude FNA khdi vii (P) + hach nach (P): Carcinom vu + di can hach Em hay cho biét chan doan ctia BN Itic nay (theo AJCC phién ban 8) * (1 Biém) Ung thur va (P) cT2N2eM0 Ung thu vi (P) cT2N2aMo Ung thu vi (P) cT2N3aMO Ung thu vi (P) cT2N3eMO hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sr UNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 7/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Em hay cho biét tén loai DUOC CHAT PHONG XA ting dung trong diéu tri mét loai bénh ly ung thu THUONG GAP? * (1 Diém) Strontium-89 lod-131 Samarium-153, Phosphorus-32 CHON CAU DUNG NHAT: Hién nay cham séc giam nhe (palliative care) la mét mé thtic diéu tri quan trong cho ngudi bénh ung thu, vay ta can PHAI di u tri mé thie nay khi ... ? * (1 Biém) Bénh nhan mdi duge chan doan ung thu Bénh nhan hap hdi giai doan can tu. Bénh nhan vao giai doan cham sc cudi déi Bénh nhan khéng cdn diéu tri duigc bing nhiing mé thifc kha i phdu bénh THUONG GAP NHAT cua bénh ly Ung thu phéi? * (1 Biém) Carcinom té bao gai Carcinom té bao nhé Carcinom tuyén Carcinom té bao én hitps:forms. office. comi/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREXP.... 8/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 © bénh nhan UNG THU DAI TRANG, trigu chting co nang cuia BN giup ggi vi tri clia khdi budu. Néu buéu 6 dai trang PHA sé cé triéu chiing ..., nguoc lai néu 6 dai trang TRAI sé cé triu chiing ... * (1 Biém) i cau phan long va xay ra muén hat; di cau bon va xay ra sém hon di cu phan léng va xy ra sém hon; di cau bén va xay ra muén hon di cu phan nhay va xay ra sém han; dau byng 4m i va xay ra mugn hon di cau phan nhiy va xay ra mugn hon; dau bung 4m i va xéy ra sém hon O nhiing BN K THUC QUAN, K THANH QUAN, K KHAU HAU, K HA HAU giai doan tré bénh tién trién dan dén cé cac trigu chting NUOT NGHEN, NU OT SAC tang dan, an uéng kém, tdng trang suy kiét. Chinh vi vay, dé nang d 6 thé trang, cung cap dinh duGng truéc, trong va sau diéu tri cho nhitng BN nay ta sé ...? * (1 Diém) Truyén dich dinh duéng (dam, duting, béo) dai ngay ‘Bat sonde mé da day ra da nuéi an cho BN ‘Dat sonde mé héng hii trang ra da nuéi an cho BN ‘Dat sonde mii da day bom thifc an cho BN MA SO SINH VIEN * 1951010831 hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE8hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOXRVBKOUPCWTANREXP.... 9/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Hién nay, TIEU CHUAN VANG trong chan doan Ung thu vd trudc mé? * (1 Biém) Sinh thiét khéi v/hach lam Giai pu bénh_ FINA khéi vi/hach lam Té bao hoc Chi cn lam 1 trong 2 Bat bude phai lim ca 2 Em hay cho biét mat bénh THUONG GAP NHAT va tén goi cia Khoa NOI 2 2* (1 Diém) Bach cau cap dang lympho; Noi Huyét hoc va Hach Ba u tly; Noi Hach, Mau Lymphém khéng Hodgkin; Ndi Huyét hoc, Hach Lymphém Hodgkin; Noi Huyét hoc, Hach DOT THUC TAP * hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWdrE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 10/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Nhiing ngudi co tién can HUT THUGC LA dugc xép vao nhom nguy co CAO mac ung thu phéi? * (1 Diém) > 50 géinam Ngung ht < 5 nam = 30 gdinam hoac ngung hit < 15 nam 2 40 géinam hoac ngung hit < 10 nam Vi tri di cn xa THUONG GAP NHAT trong ung thu DAI TRANG? * (1 Diém) Xuang Phéi Gan Nao Trong tiép can cac bénh ly ac tinh phy khoa, cdc BS da khoa thudng hay bé s 6t phn khdm lam sang nao? * (1 Diém) Kham chu cung Kham hau mén tryc trang Kham mo vit Kham 4m dao bing tay hitps:forms. office. com/pagesiresponsepage.aspxid-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX... 11/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 BN ni, 53 tuéi, dén kham vi di cau ra mau khoang 1 thang nay Lam sang: KPS 90, khdm hau mén truc trang ghi nhan mét khéi sui cdch bo hau mén 5-6cm, kich thudc 2-3cm, huéng 1-2g, sudng chac, di déng, dua n gn tay qua dug khdi sili, khéng sé cham cuCc trén, cd vong hoat déng tét, r Gt gang dinh mau dé tuoi, hach ben 2 bén + hach cd khong sd cham. Em ha y dé nghi CLS T6I UU dé CHAN DOAN XAC BINH BENH cho BN nay? * (1 Diém) N@i soi tryc trang + bam sinh thiét lam GPB, chup MRI cé can tir ving chau NGi soi toan bé dai tryc trang + bam sinh thiét lam GPB, chup MRI c6 can tly vung chau NGi soi dai trang sigma truc trang + bam sinh thiét lam GPB, chyp CT c6 cén quang ving chau Tat cd déu SAI hitps:forms. office. comipagesiresponsepage.aspxid-QsqTVWd3rE6hPDDYMp-C2.02.WqXr1 BL smUNUG-MIxJUQOHXRVBKOUPCWTANREX.... 1212721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Mét ngudi dan éng 50 tui, la ngudi nha cla sinh vién Y2, sau khi biét em da hoc va di thuc tap xong l4m sang Ung Buéu nén nhé em tu van TAM SOAT PHAT HIEN SOM UNG THU DAI TRUC TRANG cho ngudi nha em ay. SV Y2 khai véi em: ~ Chi dy hign KHONG co bat ky trigu ching co nang/thyc thé bat thuéng, d 6 gid luén khée manb, thé trang kha nén da rat lau khéng di kham site khoe téng quat. - Tién can BAN THAN khong ghi nhan bénh ly ndi ngoai khoa, khéng hut th uéc [é, thinh thoang uéng rugu bia vao cudi tuan/Ié tt, céng viée van phong nén ngéi nhiéu, thinh thoang chay bd vao méi sang cudi tun. - Tin can GIA BINH TRUC HE khong ai mac bénh ung thu. Dya tren Y HOC CHUNG CU MGI NHAT em hay cho SV ay Idi khuyén TOL UU NHAT cho ngudi nha em nay? * (1 Diém) Cha ay hoan toan khée manh, tién can ban than va gia dinh hoan toan binh thudng, khéng cé yéu t6 nguy co mac ung thu dai tryc trang nén khéng can phai tam soat lam xét inghiém sé tén kém lang phi tién Chi dy hoan toan khée manh, tién can ban than va gia dinh hoan toan binh thudng, cing khéng cé6 trigu chiing nhung nm trong dé tudi tm soat nén can ngi soi toan bé dai truc ‘trang méi§ nam Chi dy hoan toan khée manh khéng cé trigu chting nén chi can lam thém dau dn sinh hoc budu chi diém duding tiéu hoa nhu CEA, khéng nén néi soi hoac chup phim sé tén kém lang phi tien Cho dy hoan toan khée manh, tién can ban thén va gia dinh hoan toan binh thuding, cing khéng c6 triéu ching nén chi cn xét nghiém tim mau dn trong phan (FOBT) méi 3 nm hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02.WqXr1 BL smUNUG-MIxJUQOXRVBKOUPCWTANREX.... 13/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Bénh ly THUONG GAP NHAT tai khoa XA 3 BV Ung Budu TPHCM? * (1 Biém) Ung thy bach hau Tat cd G&u THUONG GAP NHU NHAU Ung thy tuyén giap Ung thu vom hau Lop * 20194 20198 y2019C 20190 hitps:forms. office com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 14/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Mét BN nam, 40 tudi, nhap khoa Cap Ctru mét BV da khoa trong dém vdi ti nh trang 46t ngét khé thé nhiéu, SpO2 88%/khi trdi, Kho thé thi hit vio, co kéo co hé hap phu, khan tiéng, rit thanh quan (+/-), tham kham lam sang ghi nhan mét khdi vung cé bén (T) to, gidi han khéng r6, sugng cting, khéng di dng. Nguéi nha BN khai cach 6 thang BN cé di kam BV Ung Budu co sé 2 TP Thi Duic, ndi soi tai mai hong theo déi K, nhung khéng diéu tri v8 nha ud ng thudc nam (nguéi nha khéng con gift gidy td), La mét BS tryc dém lic d6, em hay cho biét hudng xt tri TOL UU NHAT? *(1 Diém) Cho BN nam dau bang thd oxy, sau dé chuyén vién GAP qua BVUB Khai khi dao cap cu ngay lap tic cho BN Chup XQuang ¢é-ngy, sau dé danh gid kha nang md khi quan ra da H@i chan KHAN qua dién thoai vdi céc BS tryc tai BVUB Chi sé ROMA TEST Ia chi s6 udc tinh nguy co ac tinh 6 nhiing phy nif co kh 6i vung chau dya trén ndng dé cua ... va ... vai ngung cat tly thudc vao tinh trang kinh nguyé phy nif TIEN MAN KINH nguy co cao ... va phy ni¢ MAN KINH nguy co ¢ a0... *(1 Diem) CA125; HEA; > 7.4%; > 25.3% CA125; HEA; < 7.4%; < 25.3% CEA125; HEA; < 7.4%; > 25.3% CEA; HE4; < 7.4%; < 25.3% hitps:forms. office. comi/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sr UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 15/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 BN nam, 46 tudi, dén kham vi nuét nghen tang dan trong 2 thang nay, khd ng nuét sac, khong nuét dau, khéng kho thé, sut can 5kg/3 thang. Kham LS ghi nhan KPS 80, hach cé 2 bén khéng so cham. Néi soi thuc quan da day ta trang ghi nhan cach cung rang trén doan 28-3 3cm c6 khdi chai sii chiém 1/2 chu vi thanh, 6ng soi con qua dugc, bam 1m &u sinh thiét glti GPB. Chan doan SO BO cia BN nay? * (1 Diém) Theo dai ung thu thu quan doan 1/3 gitfa Theo d6i ung thy thye quan doan 1/3 duéi Ung thu thyc quan doan dudi Theo di ung thy thyc quan doan 1/3 gitla-duéi Trong bénh cénh LYMPHOMA, mét bénh nhan dugc danh gid la co TRIEU C HUNG B khi? * (1 Diém) Sut can c6 y nghia Chi cn ¢6 1 trong 3 triéu chitng trén Phai du 3 cchiing trén S6t kéo dai trén 38 d6 ma khéng giai thich duc nguyén nhan D6 md hai dém hitps:forms. office. comipagesiresponsepage.aspx7id-QsqTVWdrE6hPDDYMp-C2.02.WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 16/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 BN nam, 50 tudi, 4én kham vi di cau phan lan mau, néi soi truc trang: ghi nh n cach bo hau mén 4-6cm, c6 khéi sui loét chiém 3/4 chu vi thanh, lam hep lang tryc trang, dé chay mau, GPB: Nghich san nang biéu mé truc trang. E m hay cho biét can lam gj tiép theo? * (1 Digm) Néi soi va sinh thiét lai tén thuang long truc trang lan 2 Nghich san nang la dang tién ung thu nén can phai phéi hgp thém hinh anh hoc Nahich sén nng la dang tin ung thu nén bat dau diéu tri phdu thuat ngay GPB Ia nghich san khéng phai carcinom nén chi cn theo doi Cac ban sinh vién di thyc tap lm sang tai Bénh vién Ung Buéu da lam bénh an véi cc CHAN DOAN BENH sau. Em hay CHON cach ghi theo em la BU NG QUY BINH NHAT cia mét chan doan bénh ung thu? * (1 Diém) Carcinom cé ti cung giai doan IIB theo FIGO Carcinom té bao gai cé ti cung grade II theo FIGO Ung thu ¢é tr cung giai doan IIB theo FIGO U c6 tu cung giai doan IIB theo FIGO hitps:forms. office. com/pagesiresponsepage.aspx 7id-QsqVWd3rEShPDDyMSp-C2/02WaXr1 BL smUNuG-MlxJUQOsRVBKOUPCWTANREX, wer21-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 BN nam, 45 tuéi, KHAN TIENG kéo dai 3-4 thang nay, BN khong di kham, ch i uéng thudc nam bac khéng 6 loai. Hién tinh trang lic nhap vign tai khoa AP CUU BV DA KHOA: BN thé mét khi nam nghi, SpO2 92-93%/khi trdi, kh 6 the thi hit vao, rit thanh quan (+), co kéo co hé hap phu. Chan doan BAN BAU cua BN nay? * (1 Diém) Khé thé thanh quan do 2 Khé thd thanh quan dé 3 Ligt day thanh/Theo doi K ha hau-thanh quan \Viém thanh-khi quan nang/Theo di K thanh quan hitps:forms. office. comipagesiresponsepage.aspx7id-QsqTVWdrE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 18/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Mét BN nam 50 tuéi, nhap khoa CAP CUU BV da khoa trong dém vdi tinh tr ang kho thé nhiéu Bénh st: ngudi nha khai BN bat dau ho khan + dau nguc 6 thang nay, BN kh ‘6ng di kham chi di udng thudc nam bac khéng r6 loai. Khoang 2 thang nay BN thay kho thé tang dan Lam sang: BN tinh, tiép xtic dug, thé mét, thd co kéo phai ngdi, Spo2: 85%/ khi trdi, hién khéng sét, ho khan, dau nhéi nguc bén (P), héi chting 3 giam to &n bé (P). BS cp cfu cho BN chup XQuang khan tai giuéng, ghi nhan mé 1/2 phéi bén (P) kém hinh anh dudng cong Damoiseau. Sau do, BS xu tri cho rut dich man g phéi (P) cp cttu giai ap. Em hay cho biét CHAN DOAN SO BO ctia BN va em sé dé nghi lién hé Hdi c han Khoa nao cia Bénh vién Ung Budu dé co huéng diéu tri tiép theo phi h 9p nhat cho BN? * (1 Biém) Tran dich mang phéi T lugng nhigu/Theo doi K phéi giai doan IVB ; Khoa Ngoai Ngvc - Bung Tran dich mang phdi P lugng trung binh - nhiéu/ phéi giai doan IIIC ; Khoa Xa tri Téng Quat Tran dich mang phéi P lugng trung binh - nhiéu/Theo d6i K phdi giai doan IVA ; Khoa NOi Phy Khoa, Phéi Tran dich mang phéi T Iucng trung binh/K phdi giai doan IVA ; Khoa Néi Phy Khoa, Phdi hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 19/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Ung thu phéi la loai ung thu thuéng gap nhat vdi ty Ié ti vong ding hang d Bu tai Viét Nam. Tuy nhién, phan Ién BN dén BV 6 giai doan tré do triéu chit ng mo hé va tham lang Ngay cd BN KHONG GHI NHAN vé tién can hut thudc ld cling co thé mac u ng thu phéi. Dac biét 6 cac BN ... trong dé tudi ... do nhhém BN nay co ty lé B OT BIEN GEN CAO * (1 Diém) nit; trung nién nam ; trung nién nam ; tre ng; > 70 Khi tip can mot bénh nhan Ung thy TRYC TRANG, trong ltic héi bénh sti, ‘an chu y TRIEU CHUNG CO NANG nao GOI ¥ NHIEU NHAT dén tinh trang CAP CUU NGOAI KHOA ctia BN? * (1 Bim) Phan cé mau den nhu ba ca phé, mui tanh kham Di cau ra phan nhay nhét Hinh dang, kich thudc phan nhé det Bi cau ra mau dé tudi hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXe1 BL sm UNUG-MIxJUQOXRVBKOUPCWTANREX.... 20/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Mét BN nam, 56 tudi, dén kham vi di tiéu khdng ty chu, kham hau mén truc trang ghi nhan co that yéu khéng siét chat ngon tay, so cham mét khéi cach bé hau mén 2-3 cm, dang vong nhan, chiém 1/2 chu vi long tryc trang, kho s @ cham cuc trén cua sang thutdng, rit gaing dinh it mau do tudi. Em hay cho biét CHAN DOAN SO BO va tén PHAU THUAT cé thé diéu tri phi hop cho BN nay? * (1 Diém) Theo déi Ung thu tryc trang 1/3 dudi Phu thuat Miles Theo déi Ung thu tryc trang 1/3 dudi; Phdu thuat Hartmann, Theo déi Ung thu tryc trang 1/3 giffa; Phau thuat Badcock-Bacon Theo doi Ung thu try trang 1/3 gitfa; Phau thudt Hartmann BN nam, 50 tuéi, dén kham tai Khoa Ngoai Nguc - Bung vi tinh trang nuét n ghen tang dan khodng 3 thang nay, hién BN KHONG an duoc thtic an dac n hu com, CHi an dug stip chao xoay nhuyén, uéng dugc nude, thinh thoang bj sac, ban hay cho biét BN nuét nghen dé may? * (1 Diém) 23 3-4 hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sr UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 21/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Khi tiép cn mét sang thudng chua r6 ban chat LANH/AC trén lam sang, dé danh gid khach quan nhat can goi la ..? * (1 Biém) CUC viing ... BUGU vung KHOI vung U vung Khi tigp can mét bénh nhan Ung thy TRYC TRANG, trong luc tham khdm ha u mén truc trang (toucher rectal - Digital rectal exam), c&n chil y dac diém na © ggi y NHIEU NHAT dén tinh trang CAP CUU NGOAI KHOA ctia BN? * (1 Biém) Bénh gia tinh chat mat d6 ciza khdi trong long truc trang Bénh gid chitc nang co vong c6 cdn hoat déng tét hay khéng? Bénh gid khdi chiém bao nhiéu phiin lang tryc trang anh gid tinh trang nit gang cé dinh mau hay khéng? Tam ching bi tham trong ung thu cé tu cung gdm? * (1 Diém) Xuat huyét am dao, dé tryc trang-am dao, tiéu mau ‘Dau ha vi, v6 niéu, phi chi duéi Nén i, chung bung, thiéu nigu Tac ruét, bi tiéu, phi toan than hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXe1 BL smUNUG-MIxJUQOHXRVBKOUPCWTANREX.... 22/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Hién nay theo phan loai méi nhat cla AJCC (American Joint Commission on Cancer) phién ban 8, hach cé dugc chia lam bao nhiéu NHOM hach? * (1 Biém) Em hay cho biét tén tu thé cua phi mchup NHU ANH nay? * (1 Biém) Ch&ch Trong - Ngoai (MLO) Chéch Ngoai - Trong (LMO) Bau - Budi (CQ) Trong - Ngoai (ML) hitps:forms. office. comipagesiresponsepage.aspx id-QsqTVWdrE6hPDDYMp-C2.02.WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 23/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Trong ung thu VOM HAU, nhém hach cé nao THUONG bi di can NHAT? * (1 Biém) Nhom doc tinh mach canh trén Nhém truéc, canh khi quan, trudc nhan, quanh tuyén giép Nhom thugc tam giac c6 sau Nhom dudi cam va duéi ham Em hay cho biét mat bénh clia nhttng bénh ly THUONG GAP tai Khoa NOI 1 2* (1 Biém) Ung thu vd, Ung thu bung triing, Ung thu cé ti cung Ung thu phéi, Ung thu thy quan, Ung thu gan Ung thy phéi, Ung thu vom hau, Ung thu cé ti cung Ung thu vi, Ung thy dai trang, Ung thy tryc trang hitps:forms. office. comi/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WaXe1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 24/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Trong thc hanh lam sang, BIRADs (Breast Imaging Reporting and Data Sy stem) la hé théng gitip cdc BS danh gia nguy co ac tinh cua khdi VUNG VU t rén SIEU AM hoac NHU ANH. Mét BN ni, 45 tuéi, dén kham tam soat ung thu, dude sigu am tuyén vi ghi nhan mét sang thong vd (T) BIRADs 4A, em hay cho biét y nghia cla két q ua nay? * (1 Diém) Nahi ng@ ac tinh cao, nguy eo ung thu > 50 t6i < 95%, sinh thiét lam giai phau bénh Kha nang khdi lanh tinh, nguy co ung thu < 2%, theo d6i kiém tra méi 3 thang Ac tinh rat cao, nguy co ung thu 2 95%, sinh thiét lam giai phdu bénh Nahi ng@ ac tinh it, nguy cd ung thu > 02 tdi < 10%, sinh thiét lam giai phdu bénh Trong thuc hanh lam sang tai BV Ung Buéu, dé TOI UU NHAT trong chan d oan bénh ly Ung thu C6 TU CUNG, cdc BS can phai..2 * (1 Bigm) Tham kham LS danh gia sang thyong + kham chu cung + hach toan than; Soi CTC + bam sinh thigt; chyp CT bung chau cé cén quang ‘Tham kham LS danh gid sang thugng + kham chu cung + hach toan than; Soi CTC + bam sinh thigt; chyp PET/CT toan than Tham khém LS dénh gi sang thuong + kham chu cung + hach toan than; Soi CTC + lam Pap tim TB 4c tinh; chup PET/CT toan than Tham kham LS danh gia sang thuong + kham chu cung + hach toan than; Soi CTC + lam. Pap tim TB ac tinh; chup CT byng chau cé cén quang hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMp-C2.02WqXr1 BL sm UNUG-MIxJUQOHXRVBKOUPCWTANREX.... 25/2721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Mét bénh ly truyén nhiém THUONG GAP nhung la yéu td nguy co CAO cla bénh Lymphoma, dac biét [a thé bénh Lymphoma Burkitt dign tién rat nhan h. Em hay cho biét tén cla bénh ly truyén nhiém nay? * (1 Diém) Viém gan siéu vi B HIV/AIDS Nhiém Cytomegalovirus Bénh lay truyén qua duding tinh duc (STD) Bénh ly ung thy BAU C6 nao hién nay da dude ching minh tién cin HUT T HUGC LA VA UONG RUQU BIA IT co méi lién quan gay ra bénh ung thu na y?* (1 Biém) K vom hau K thanh quan K khéu hau Kha hau hitps:/forms.office.com/pagesiresponsepage.aspx 7id-QsqT VWd0rE6hPDDyMSp-C2.02WWqXr1 BLsmUNuG-MlxJUQOIsRVEKOUpCWTANREX. 2610721-05, 160112023 THILAM SANG UNG BUOU Ys -Y2019.89T 2 Két qua FNA trong budu giap dugc phan loai theo hé thong BETHESDA. Em hay cho biét phan loai nhhom may sé dugc xép vao nghi ngo AC TINH? * (1 Biém) Nhom VI Nhom V Nhom IV Nhom vil INGi dung nay dug tao bai chi sd hu ca biéu mau, DG lu ban gil sé duge gi dn chi s® ha biéu mau Microsoft khéng chiu tréch nhiém v8 quyén rigng tu hoc thy tién bio mat cia knch hang, bao gdm cé céc bién pphip bao mat cua chi sé hu biéu mu nay. Khéng bao gié dua ra mst khdu cla ban, oat déng trén nin tang Microsoft Forms | Quyanriéng tu vi cookie | Diéu khoin sti dung hitps:forms. office. com/pagesiresponsepage.aspx7id-QsqTVWd3rE6hPDDYMSp-C2.02.WqXr1 BL smUNUG-MIxJUQOHXRVBKOUPCWTANREX.... 27/27