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

Which is a role of the scrub practitioner in theatre?

1. APreparing and passing sterile instruments
2. BObtaining the patient's surgical consent
3. CMoving equipment outside the sterile field only
4. DGiving the anaesthetic drugs to the patient

Which investigation is usually used to find and treat the source of an upper GI bleed?

1. AUpper GI endoscopy
2. BPlain abdominal X-ray
3. CColonoscopy of the bowel
4. DBarium swallow study

How is the length of a nasogastric tube usually estimated before insertion?

1. AFrom the mouth to the knee on the same side of the body
2. BFrom the chin to the umbilicus in a straight line
3. CAny length, as long as the whole tube is inserted
4. DFrom the nose tip to the earlobe, then to the xiphisternum

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt blocks the effect of all opioids
2. BIt makes the bowel stop moving completely
3. CIt always causes severe diarrhoea
4. DIt increases gut movement against the blockage

Which statement about multimodal analgesia is correct?

1. AOnly one analgesic should ever be given at any one time
2. BSeveral different opioids are combined for a stronger overall effect
3. CIt is a method used only for long-term chronic pain
4. DDrugs with different actions are combined to reduce opioid needs

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ASwap to aspirin on the morning of surgery
2. BDouble the dose for a week so the blood is ready for surgery
3. CStop it about 5 days before and check the INR
4. DTake the usual dose on the morning of surgery

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

1. ADiathermy can interfere with the pacemaker's function
2. BPacemakers stop all bleeding during surgery
3. CThe patient cannot have any anaesthetic at all
4. DThe pacemaker will always be removed during surgery

Which group of signs suggests that a patient is entering the last days of life?

1. AClearer thinking and increased movement
2. BRising appetite, more energy and normal skin colour and warmth
3. CReduced intake, mottled skin and changes in breathing
4. DHigh blood pressure and very fast weight gain