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 statement about hepatitis C is correct?

  1. AIt is spread mainly through blood, and there is no vaccine
  2. BIt can be treated only with a liver transplant
  3. CIt always clears by itself within two weeks
  4. DIt is spread mainly by food, and a vaccine is given to babies
2.Easy

What is pulmonary aspiration?

  1. ARemoving fluid from the chest with a needle through the ribs
  2. BInhaling stomach contents or other material into the lungs
  3. CBreathing too fast after surgery
  4. DA collapsed lung after a chest drain
3.Easy

Where is the pain of acute pancreatitis typically felt?

  1. AIn the epigastrium, often radiating to the back
  2. BIn the left shoulder tip, worse on deep breathing
  3. CIn the right lower abdomen, near the hip
  4. DLow in the back, eased by lying flat
4.Medium

Dysphagia that started with solids and now includes liquids, with weight loss, most suggests which cause?

  1. ASimple anxiety about swallowing tablets
  2. BA narrowing such as an oesophageal tumour
  3. CA dry mouth from drinking too little water
  4. DNormal ageing of the swallowing muscles
5.Medium

Which advice is appropriate for a patient with a very low platelet count?

  1. AUse a razor blade for shaving every day
  2. BFloss hard every day to prevent gum disease
  3. CTake aspirin regularly for headaches
  4. DUse a soft toothbrush and an electric razor
6.Medium

Which electrolyte abnormality can contribute to a postoperative ileus?

  1. AHyperkalaemia
  2. BHyperphosphataemia
  3. CHypernatraemia
  4. DHypokalaemia
7.Hard

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

  1. AAcute infective gastroenteritis
  2. BFaecal impaction with overflow
  3. CA flare of ulcerative colitis
  4. DNormal stool pattern on opioids
8.Hard

A patient with bowel obstruction develops constant severe pain (no longer colicky), fever, a heart rate of 120/min and a rigid, tender abdomen. What does this suggest?

  1. AConstipation that should be treated with a stimulant laxative
  2. BNormal progress that only needs regular simple analgesia
  3. CThe obstruction is resolving as the bowel starts to move
  4. DStrangulation or perforation needing urgent surgical review

Answer key

  1. 1. A · It is spread mainly through blood, and there is no vaccine
  2. 2. B · Inhaling stomach contents or other material into the lungs
  3. 3. A · In the epigastrium, often radiating to the back
  4. 4. B · A narrowing such as an oesophageal tumour
  5. 5. D · Use a soft toothbrush and an electric razor
  6. 6. D · Hypokalaemia
  7. 7. B · Faecal impaction with overflow
  8. 8. D · Strangulation or perforation needing urgent surgical review

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