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

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A9%
2. B18%
3. C27%
4. D36%

What is a Hartmann's procedure?

1. APlacing a stent in the bile duct
2. BRemoval of part of the colon with an end colostomy and rectal stump
3. CRemoval of the gallbladder through several small abdominal incisions
4. DJoining the stomach directly to the small bowel

What is the main purpose of a surgical wound drain?

1. ATo measure the patient's temperature
2. BTo give IV fluids and antibiotics straight into the wound bed
3. CTo remove fluid or blood that collects at the operation site
4. DTo feed the patient after surgery

How should a patient use an incentive spirometer after surgery?

1. ABlow out as hard and as fast as possible
2. BUse it once a day, just before going to sleep at night
3. CBreathe quickly in and out ten times in a row
4. DBreathe in slowly and deeply, then hold briefly

During which period after surgery is wound dehiscence most likely?

1. AWithin the first hour
2. BAbout 5–10 days after surgery
3. CMore than a year after surgery
4. DOnly during the operation

A patient with an acute upper GI bleed has a normal haemoglobin on arrival. Why can this be misleading?

1. AHaemoglobin always rises at first after any blood loss
2. BIt falls only after fluid shifts or IV fluids dilute the blood
3. CHaemoglobin only falls after a whole week of continuous bleeding
4. DHaemoglobin is not affected by bleeding from the gut

A patient with breast cancer becomes confused, thirsty and constipated, with polyuria. Which oncological emergency should be considered?

1. ATumour lysis syndrome
2. BSuperior vena cava obstruction
3. CHypoglycaemia
4. DHypercalcaemia of malignancy

A patient on chemotherapy has white plaques on the tongue and cheeks that wipe off to leave red areas. What is most likely?

1. AOral candidiasis
2. BLeukoplakia from smoking
3. CFood residue only
4. DNormal mucositis healing