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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1.Easy

In widely used guidelines, which core temperature defines perioperative hypothermia?

  1. ABelow 38.0 °C
  2. BBelow 36.0 °C
  3. CBelow 37.5 °C
  4. DBelow 32.0 °C
2.Easy

Why are patients asked to fast before a general anaesthetic?

  1. ATo keep the blood glucose level higher than usual
  2. BTo make the bowel easier to see on scans
  3. CTo reduce the bleeding during the operation
  4. DTo reduce the risk of aspirating stomach contents
3.Easy

If hair must be removed before surgery, which method is recommended?

  1. AA wax strip several days before surgery
  2. BA razor shave the night before surgery
  3. CPulling the hairs out with tweezers
  4. DElectric clippers on the day of surgery
4.Medium

Which liver function test pattern suggests bile duct obstruction?

  1. AA low albumin with all other results normal
  2. BHigh bilirubin with a markedly raised ALP and GGT
  3. CNormal bilirubin with a low ALP and low GGT
  4. DVery high ALT with a normal bilirubin only
5.Medium

What is the role of sodium restriction and spironolactone in cirrhosis?

  1. ATo increase potassium loss and prevent hyperkalaemia
  2. BTo lower blood ammonia and treat encephalopathy
  3. CTo reduce sodium and water retention and control ascites
  4. DTo raise the blood pressure and improve kidney blood flow
6.Medium

What is the main clinical difference between small and large bowel obstruction?

  1. ASmall bowel: early vomiting, less distension; large bowel: later vomiting, marked distension
  2. BSmall bowel: no vomiting at all; large bowel: early profuse vomiting with no distension
  3. CSmall bowel: marked distension only; large bowel: no pain, no vomiting and no distension at all
  4. DThere is no clinical difference; only a CT scan can tell them apart
7.Hard

After a fall, a patient with advanced dementia is agitated, grimacing and guarding the hip, and cannot rate the pain. What should the nurse do?

  1. AUse an observational pain tool, give analgesia and reassess
  2. BGive a sedative to treat the agitation and avoid giving any analgesia
  3. CWait until a relative can confirm the pain
  4. DAssume there is no pain because none is reported
8.Hard

On day 3 after laparoscopic cholecystectomy, a patient has abdominal pain, fever and mild jaundice, and green fluid is draining from the drain. What is most likely?

  1. AA bile leak
  2. BA wound haematoma
  3. CNormal post-operative drainage
  4. DUrinary retention

Answer key

  1. 1. B · Below 36.0 °C
  2. 2. D · To reduce the risk of aspirating stomach contents
  3. 3. D · Electric clippers on the day of surgery
  4. 4. B · High bilirubin with a markedly raised ALP and GGT
  5. 5. C · To reduce sodium and water retention and control ascites
  6. 6. A · Small bowel: early vomiting, less distension; large bowel: later vomiting, marked distension
  7. 7. A · Use an observational pain tool, give analgesia and reassess
  8. 8. A · A bile leak

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