Med-surg: GI, perioperative & oncology worksheet with answers

Which type of healing describes a clean surgical incision closed with sutures?

1. ADelayed intention
2. BSecondary intention
3. CPrimary intention
4. DTertiary intention

Why are swabs, sharps and instruments counted during surgery?

1. ATo prevent items being left inside the patient
2. BTo decide how long the operation took
3. CTo check the stock in the store room
4. DTo calculate the cost of the operation

What is haematochezia?

1. ABlack, tarry, foul-smelling stools
2. BFresh red blood passed from the rectum
3. CVomiting of fresh red blood
4. DCoughing up bright red, blood-stained sputum

Why are patients taught to support their abdominal wound with a pillow when coughing?

1. AIt makes the cough weaker so the wound is not put at risk
2. BIt speeds up the healing of the skin edges
3. CIt replaces the need for regular analgesia
4. DIt reduces pain and strain, so they can cough well

Which herbal supplement is commonly asked about before surgery because it may increase bleeding?

1. ACranberry
2. BChamomile
3. CPeppermint oil
4. DGinkgo biloba

Which statement about fatigue during radiotherapy is correct?

1. AIt means the radiotherapy has failed
2. BIt is caused by the patient becoming radioactive
3. CIt often builds during the course and can last for weeks
4. DIt occurs only after the first session and then disappears completely

A patient with cirrhosis and ascites has a new fever, abdominal tenderness and worsening confusion. Which complication should be suspected?

1. ASimple constipation
2. BNormal progression of ascites
3. CAcute pancreatitis
4. DSpontaneous bacterial peritonitis

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. ANeuropathic itching
2. BVenous insufficiency
3. CLymphoedema
4. DArterial insufficiency