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

Who is responsible for obtaining informed consent for surgery?

  1. AThe ward clerk who arranges the patient's admission
  2. BAny member of staff who is free at the time
  3. CThe clinician doing the procedure, or a trained delegate
  4. DThe patient's next of kin, or the closest relative who is present
2.Easy

Which drug reverses the effects of opioids?

  1. ANaloxone
  2. BFlumazenil
  3. CProtamine
  4. DVitamin K
3.Easy

Which sign suggests acute cholecystitis?

  1. APain in the left lower abdomen when the right side is pressed
  2. BA flapping tremor of the hands when the arms are held out
  3. CBruising around the umbilicus and over both flanks of the abdomen
  4. DPain that stops a deep breath when the right upper abdomen is pressed
4.Medium

Why are urinary catheters removed as early as possible after surgery?

  1. ABecause catheters always cause kidney stones
  2. BBecause patients cannot drink normally while a catheter is in place
  3. CBecause the catheter stops the bowel working
  4. DTo reduce the risk of catheter-associated infection
5.Medium

Which electrolyte pattern is typical of tumour lysis syndrome?

  1. ALow potassium and phosphate with high calcium
  2. BHigh potassium, phosphate and uric acid; low calcium
  3. CLow potassium, low phosphate and low uric acid
  4. DHigh sodium and high calcium with a low uric acid level
6.Medium

How should pancreatic enzyme replacement capsules usually be taken?

  1. AOne hour after meals, on an empty stomach
  2. BOnly on days with abdominal pain
  3. CWith every meal and snack
  4. DOnce a day at bedtime
7.Hard

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. ALymphoedema
  2. BVenous insufficiency
  3. CNeuropathic itching
  4. DArterial insufficiency
8.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. CMorphine is the safest opioid in renal failure, so doses can be increased freely
  4. DOpioids must never be used in older adults, whatever the pain

Answer key

  1. 1. C · The clinician doing the procedure, or a trained delegate
  2. 2. A · Naloxone
  3. 3. D · Pain that stops a deep breath when the right upper abdomen is pressed
  4. 4. D · To reduce the risk of catheter-associated infection
  5. 5. B · High potassium, phosphate and uric acid; low calcium
  6. 6. C · With every meal and snack
  7. 7. D · Arterial insufficiency
  8. 8. A · Morphine metabolites accumulate, so a lower dose or another opioid may be needed

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