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

How is hepatitis B mainly spread?

1. AThrough blood, sexual contact and from mother to baby
2. BOnly by coughing and sneezing
3. COnly by eating undercooked shellfish from polluted water
4. DThrough touching door handles and shaking hands

Which sign is typical of hepatic encephalopathy?

1. AA drooping eyelid on one side
2. BA fine rash over the chest and arms
3. CA stiff neck with sensitivity to light
4. DA flapping tremor of the outstretched hands

What is portal hypertension?

1. ARaised pressure in the lungs from heart failure
2. BRaised pressure in the portal venous system to the liver
3. CHigh blood pressure in the arteries of the arms and legs
4. DHigh pressure inside the skull

What is achalasia?

1. AWeakness of the lower oesophageal sphincter that allows reflux
2. BInflammation of the oesophagus caused by a fungal infection
3. CFailure of the lower oesophageal sphincter to relax on swallowing
4. DA tear at the junction of the oesophagus and the stomach

Which task for a stable patient with an established ileostomy can usually be delegated to a trained healthcare assistant (nursing assistant)?

1. ATeaching the patient about high-output risks
2. BEmptying the pouch and measuring the output
3. CAssessing the stoma for signs of necrosis
4. DDeciding whether IV fluids are needed

Which statement correctly describes physical dependence on opioids?

1. AThe patient always craves the drug and misuses it despite harm
2. BThe drug no longer has any side effects
3. CWithdrawal occurs if the drug is stopped suddenly
4. DThe patient is allergic to opioids

A patient with a high-voltage electrical injury has small entry and exit wounds. Why is close monitoring needed?

1. AElectrical injuries never cause damage beneath the skin surface
2. BThe only real risk is a minor infection of the skin wounds
3. CHidden muscle damage: arrhythmias, rhabdomyolysis, kidney injury
4. DSmall skin wounds show that the internal injury must also be minor

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. AConsider an alternative; if an NSAID is needed, add a PPI
2. BUse the highest NSAID dose to shorten the course
3. CCombine two different NSAIDs at lower doses
4. DTake the NSAID with a glass of milk instead of food