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 is healing by secondary intention?

  1. AA wound closed a few days after it was left open
  2. BA wound left open that heals from the base upwards
  3. CA wound that heals without any new tissue
  4. DA wound closed with sutures straight after surgery
2.Easy

Which finding is typical of a perforated peptic ulcer?

  1. ASlow onset of mild pain relieved fully by eating
  2. BA soft, non-tender abdomen with loud, frequent bowel sounds
  3. CPainless bright red bleeding from the rectum over several days
  4. DSudden severe abdominal pain with a rigid, board-like abdomen
3.Easy

How is parenteral nutrition given?

  1. ABy mouth as a thick supplement drink
  2. BInto the muscle of the thigh
  3. CThrough a nasogastric tube into the stomach
  4. DInto a vein, usually through a central line
4.Medium

How is the height of an epidural sensory block usually checked?

  1. ATesting sensation to cold with ice or a cold spray
  2. BTapping the knee with a reflex hammer and recording the score
  3. CMeasuring the patient's blood glucose level
  4. DChecking the colour of the patient's urine
5.Medium

What is often the earliest sign of malignant hyperthermia during anaesthesia?

  1. AA slowing heart rate and low blood pressure
  2. BFlushed skin with a falling CO₂ level
  3. CA steady fall in body temperature
  4. DAn unexplained rise in end-tidal CO₂
6.Medium

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

  1. AScreening for tuberculosis
  2. BA test of colour vision
  3. CA test for coeliac disease
  4. DA bone density scan
7.Hard

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

  1. ALevothyroxine
  2. BAmlodipine
  3. COmeprazole
  4. DParacetamol (acetaminophen)
8.Hard

A patient has had a large terminal ileum resection for Crohn's disease. Which long-term problems should the nurse anticipate?

  1. AExcess vitamin D and calcium kidney stones in the first year
  2. BInsulin deficiency and high blood glucose from loss of the islets
  3. CVitamin B12 deficiency and bile-acid diarrhoea
  4. DIron overload and constipation

Answer key

  1. 1. B · A wound left open that heals from the base upwards
  2. 2. D · Sudden severe abdominal pain with a rigid, board-like abdomen
  3. 3. D · Into a vein, usually through a central line
  4. 4. A · Testing sensation to cold with ice or a cold spray
  5. 5. D · An unexplained rise in end-tidal CO₂
  6. 6. A · Screening for tuberculosis
  7. 7. C · Omeprazole
  8. 8. C · Vitamin B12 deficiency and bile-acid diarrhoea

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