Med-surg: GI, perioperative & oncology worksheet with answers

Which precaution is most important to reduce infection in a patient with neutropenia?

1. AStrict hand hygiene by everyone
2. BKeeping the patient in bed
3. CKeeping the curtains closed all day
4. DAntibiotics for every visitor

What is the purpose of the WHO Surgical Safety Checklist?

1. ATo list the training and experience of the surgeon
2. BTo replace informed consent for planned operations
3. CTo record what the patient would like to eat and drink after surgery
4. DTo ensure key safety checks happen before, during and after surgery

Which bedside test is commonly used to check that a nasogastric tube is in the stomach before each use?

1. AAsking the patient whether it feels comfortable
2. BPutting the tube end in a cup of water
3. CListening for a "whoosh" of injected air
4. DTesting aspirate with pH paper

Why are many patients screened for MRSA before planned surgery?

1. ATo decide which anaesthetic drug to use
2. BSo that surgery can be cancelled for all positive patients
3. CTo check whether the patient has had a flu vaccine
4. DSo that carriers can be decolonised to reduce infection

Why should antacids usually be taken at a different time from other medicines?

1. AThey stop the kidneys from clearing other drugs
2. BThey make all other drugs much more toxic
3. CThey destroy other drugs before they are swallowed
4. DThey can reduce the absorption of many other drugs

Which signs suggest severe acute pancreatitis with bleeding into the tissues?

1. AYellow discolouration of the fingernails
2. BBruising around the umbilicus or flanks
3. CA purple rash on the palms and soles
4. DSwelling of the lips, tongue and face

A patient with a toe ulcer says the leg pain is worse at night and eases when they hang the leg over the side of the bed. What does this suggest?

1. AArterial insufficiency
2. BNeuropathic itching
3. CLymphoedema
4. DVenous insufficiency

A worker has a hydrofluoric acid burn on the hand and severe pain. After irrigation with water, which specific treatment is commonly applied?

1. ACalcium gluconate gel
2. BSodium bicarbonate paste
3. CSilver sulfadiazine cream
4. DIce cubes wrapped in a cloth