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

Which bowel sounds are typical early in a mechanical small bowel obstruction?

  1. AHigh-pitched, tinkling sounds
  2. BQuiet, normal gurgling sounds
  3. CCompletely absent sounds from the start
  4. DA pleural friction rub
2.Easy

Which two sites are most common for pressure ulcers in patients lying in bed?

  1. AThe palms and the forehead
  2. BThe sacrum and the heels
  3. CThe thighs and the upper arms
  4. DThe forearms and the knees
3.Easy

What does dysphagia mean?

  1. APainful passing of urine
  2. BDifficulty swallowing
  3. CDifficulty speaking clearly
  4. DIndigestion after fatty food
4.Medium

Which risk is particularly linked with tramadol?

  1. AHigh blood pressure that needs emergency treatment in most patients
  2. BSerotonin syndrome with some antidepressants, and seizures
  3. CSevere stomach ulcers in all patients
  4. DRapid liver failure at normal doses
5.Medium

Why is a urinary catheter usually inserted in a patient with a major burn?

  1. AHourly urine output guides fluid resuscitation
  2. BBurns always cause the bladder to rupture
  3. CThe catheter prevents wound infection
  4. DIt is needed to give medicines into the bladder
6.Medium

For which stoma can colostomy irrigation be considered?

  1. AAn established descending or sigmoid colostomy
  2. BAn ileal conduit draining urine
  3. CAny stoma that has liquid or very loose output
  4. DA new ileostomy in the first week
7.Hard

A 74-year-old with chronic kidney disease has severe pain after surgery. Which opioid issue is most important?

  1. AMorphine metabolites accumulate, so a lower dose or another opioid may be needed
  2. BKidney function has no effect on how opioids are handled
  3. COpioids must never be used in older adults, whatever the pain
  4. DMorphine is the safest opioid in renal failure, so doses can be increased freely
8.Hard

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0.4 mmol/L. What is most likely?

  1. AToo little calorie intake
  2. BRefeeding syndrome
  3. CNormal adjustment to the new feed
  4. DAn allergy to the feed formula

Answer key

  1. 1. A · High-pitched, tinkling sounds
  2. 2. B · The sacrum and the heels
  3. 3. B · Difficulty swallowing
  4. 4. B · Serotonin syndrome with some antidepressants, and seizures
  5. 5. A · Hourly urine output guides fluid resuscitation
  6. 6. A · An established descending or sigmoid colostomy
  7. 7. A · Morphine metabolites accumulate, so a lower dose or another opioid may be needed
  8. 8. B · Refeeding syndrome

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