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

What does standard H. pylori eradication therapy usually combine?

  1. ATwo NSAIDs and a stimulant laxative for one month
  2. BAn antacid and a single antifungal drug
  3. CA proton pump inhibitor and two antibiotics
  4. DA steroid and an antiviral drug
2.Easy

Which measure helps prevent burn scar contractures?

  1. AApplying ice packs to the scar every day
  2. BKeeping the joint bent in the most comfortable position
  3. CPositioning, splinting and regular stretching exercises
  4. DAvoiding all movement until the wound has healed
3.Easy

Why does jaundice develop in liver disease?

  1. AThe kidneys make too much urea for the body
  2. BBilirubin builds up as the liver cannot clear it
  3. CThe liver makes too many red blood cells at once
  4. DYellow pigment from food is stored in the skin
4.Medium

What is a paralytic ileus?

  1. AA twist in the large bowel cutting off its blood supply
  2. BA blockage of the bowel lumen by a tumour
  3. CAn infection of the bowel wall with fever
  4. DLoss of bowel movement without a physical blockage
5.Medium

Which is a recognised risk of long-term proton pump inhibitor use?

  1. AHypercalcaemia
  2. BHypernatraemia
  3. CHypomagnesaemia
  4. DHyperkalaemia
6.Medium

Which electrolyte pattern is typical of tumour lysis syndrome?

  1. ALow potassium, low phosphate and low uric acid
  2. BLow potassium and phosphate with high calcium
  3. CHigh potassium, phosphate and uric acid; low calcium
  4. DHigh sodium and high calcium with a low uric acid level
7.Hard

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

  1. AThe patient is exaggerating, so the pain scores should be ignored for now
  2. BThe patient is addicted and should have analgesia withheld
  3. CThe patient needs only distraction and no change in drugs
  4. DPain may be undertreated; reassess and ask for a review of the plan
8.Hard

Hours after an epidural catheter is removed, a patient on an anticoagulant develops back pain and worsening leg weakness. What should be suspected?

  1. ANormal wearing-off of the epidural block over the day
  2. BA sacral pressure ulcer causing referred leg pain
  3. CA urinary tract infection causing back pain
  4. DAn epidural haematoma, needing emergency review and MRI

Answer key

  1. 1. C · A proton pump inhibitor and two antibiotics
  2. 2. C · Positioning, splinting and regular stretching exercises
  3. 3. B · Bilirubin builds up as the liver cannot clear it
  4. 4. D · Loss of bowel movement without a physical blockage
  5. 5. C · Hypomagnesaemia
  6. 6. C · High potassium, phosphate and uric acid; low calcium
  7. 7. D · Pain may be undertreated; reassess and ask for a review of the plan
  8. 8. D · An epidural haematoma, needing emergency review and MRI

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