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

Which is one of the commonest causes of liver cirrhosis?

  1. ALong-term heavy alcohol use
  2. BA diet high in fruit and fibre
  3. CIron deficiency anaemia
  4. DA single bout of food poisoning
2.Easy

Which statement about hepatitis C is correct?

  1. AIt can be treated only with a liver transplant
  2. BIt is spread mainly by food, and a vaccine is given to babies
  3. CIt always clears by itself within two weeks
  4. DIt is spread mainly through blood, and there is no vaccine
3.Easy

What is neutropenia?

  1. AA low neutrophil count
  2. BA low red cell count
  3. CA high white cell count
  4. DA low platelet count
4.Medium

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

  1. ATake the usual dose on the morning of surgery
  2. BStop it about 5 days before and check the INR
  3. CDouble the dose for a week so the blood is ready for surgery
  4. DSwap to aspirin on the morning of surgery
5.Medium

Which intervention most reduces pressure ulcer risk in an immobile patient?

  1. AKeeping the head of the bed raised at 90° all day
  2. BUsing a doughnut-shaped ring cushion
  3. CMassaging red areas firmly at each turn to bring back the circulation
  4. DRegular repositioning and a pressure-redistributing mattress
6.Medium

Why are patients with cirrhosis at increased risk of bleeding?

  1. AFewer clotting factors, low platelets and varices from portal hypertension
  2. BCirrhosis raises the platelet count, which makes platelets weaker
  3. CHigh arterial blood pressure in cirrhosis makes vessels burst
  4. DThe scarred liver releases anticoagulant substances such as heparin into the blood
7.Hard

Using the adult rule of nines, what is the total burn area of the whole right arm plus the whole front of the trunk (both with partial-thickness burns)?

  1. A45%
  2. B36%
  3. C27%
  4. D18%
8.Hard

A patient with cirrhosis and ascites has a new fever, abdominal tenderness and worsening confusion. Which complication should be suspected?

  1. ANormal progression of ascites
  2. BSimple constipation
  3. CSpontaneous bacterial peritonitis
  4. DAcute pancreatitis

Answer key

  1. 1. A · Long-term heavy alcohol use
  2. 2. D · It is spread mainly through blood, and there is no vaccine
  3. 3. A · A low neutrophil count
  4. 4. B · Stop it about 5 days before and check the INR
  5. 5. D · Regular repositioning and a pressure-redistributing mattress
  6. 6. A · Fewer clotting factors, low platelets and varices from portal hypertension
  7. 7. C · 27%
  8. 8. C · Spontaneous bacterial peritonitis

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