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

Free printable Med-surg: GI, perioperative & oncology worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

On a numerical rating scale for pain, what do 0 and 10 usually mean?

  1. AThe numbers show how many hours the pain has lasted
  2. B0 is the worst pain and 10 is no pain at all
  3. C0 is mild pain and 10 is moderate pain
  4. D0 is no pain and 10 is the worst pain imaginable
2.Easy

What is the first phase of wound healing?

  1. AEpithelialisation
  2. BMaturation
  3. CHaemostasis
  4. DProliferation
3.Easy

Which side effect of opioids usually does not lessen with continued use?

  1. AItching
  2. BConstipation
  3. CNausea and vomiting
  4. DSedation
4.Medium

Which measures help prevent tumour lysis syndrome in high-risk patients?

  1. ACalcium and phosphate supplements daily
  2. BFluid restriction with potassium tablets
  3. CIV hydration with allopurinol or rasburicase
  4. DStopping all IV and oral fluids during the chemotherapy
5.Medium

Which is a usual benefit of laparoscopic over open abdominal surgery?

  1. ANo risk of any complications at all
  2. BLarger wounds that heal faster
  3. CNo need for a general anaesthetic ever
  4. DLess pain and a shorter hospital stay
6.Medium

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

  1. AExcess growth of body hair
  2. BPermanent high blood glucose
  3. CDamage to the heart muscle
  4. DLoss of the sense of smell
7.Hard

Ten days after chemotherapy, a patient has a temperature of 37.6 °C but feels shivery and unwell, with a pulse of 112/min and BP 95/60 mmHg. What is the correct action?

  1. AReassure the patient, because the temperature is still below 38 °C
  2. BTreat as possible neutropenic sepsis: IV antibiotics within an hour
  3. CWait for the neutrophil count before deciding on any treatment
  4. DGive paracetamol and recheck the temperature again in four hours
8.Hard

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

  1. ANormal confusion after any anaesthetic
  2. BHypernatraemia from too much salt
  3. CHyponatraemia from hypotonic fluids
  4. DHypoglycaemia from the glucose

Answer key

  1. 1. D · 0 is no pain and 10 is the worst pain imaginable
  2. 2. C · Haemostasis
  3. 3. B · Constipation
  4. 4. C · IV hydration with allopurinol or rasburicase
  5. 5. D · Less pain and a shorter hospital stay
  6. 6. C · Damage to the heart muscle
  7. 7. B · Treat as possible neutropenic sepsis: IV antibiotics within an hour
  8. 8. C · Hyponatraemia from hypotonic fluids

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