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

Which precaution is most important to reduce infection in a patient with neutropenia?

1. AKeeping the curtains closed all day
2. BKeeping the patient in bed
3. CStrict hand hygiene by everyone
4. DAntibiotics for every visitor

What does standard H. pylori eradication therapy usually combine?

1. AA proton pump inhibitor and two antibiotics
2. BTwo NSAIDs and a stimulant laxative for one month
3. CAn antacid and a single antifungal drug
4. DA steroid and an antiviral drug

Which electrolyte typically falls in refeeding syndrome?

1. AChloride
2. BCalcium
3. CPhosphate
4. DSodium

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

1. AMigraine caused by hospital lighting
2. BRaised blood pressure from pain
3. CPost-dural puncture headache
4. DA side effect of the antibiotic

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

1. ASciatic nerve
2. BFemoral nerve
3. CFacial nerve
4. DUlnar nerve

How is an uncomplicated sigmoid volvulus often first treated?

1. ADecompression with a flexible sigmoidoscope and flatus tube
2. BA barium meal given by mouth to untwist the bowel slowly
3. CHigh-dose laxatives taken by mouth
4. DEating a large high-fibre meal

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AEarly dumping from fluid shifts; give a large drink of water
2. BAn anastomotic leak; insert a nasogastric tube at once
3. CLate dumping with low blood glucose; check capillary glucose
4. DVitamin B₁₂ deficiency; give an injection now

A patient has an implanted port for chemotherapy. Which needle is used to access it?

1. AA wide-bore cannula with a steel stylet
2. BA non-coring (Huber) needle
3. CAn intramuscular injection needle
4. DA standard hollow needle used for venepuncture