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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Name: ____________________   Date: ____________

1.Easy

What is the MUST tool used for?

  1. AMeasuring pain in confused patients
  2. BScreening adults for malnutrition risk
  3. CScoring the severity of a burn injury
  4. DAssessing the risk of falls
2.Easy

Who is responsible for obtaining informed consent for surgery?

  1. AThe ward clerk who arranges the patient's admission
  2. BThe patient's next of kin, or the closest relative who is present
  3. CThe clinician doing the procedure, or a trained delegate
  4. DAny member of staff who is free at the time
3.Easy

Which signs suggest peritonitis?

  1. AA small, painless lump near the umbilicus
  2. BA soft abdomen with no pain on pressing
  3. CGuarding, rebound tenderness and a rigid abdomen
  4. DLoud bowel sounds with a hungry feeling
4.Medium

Which food advice reduces the risk of blockage with a new ileostomy?

  1. ASwallow food quickly without chewing much
  2. BChew well, and bring in fibrous foods slowly
  3. CDrink very little fluid to keep the output thick
  4. DEat plenty of nuts and seeds from day one
5.Medium

Why are accurate fluid balance charts kept after major surgery?

  1. ATo record when visitors come and go
  2. BTo check how far the patient has walked and how often they get out of bed
  3. CTo decide which meal the patient will have next
  4. DTo detect dehydration, fluid overload or kidney problems early
6.Medium

What is the main treatment for a venous leg ulcer with an adequate arterial supply?

  1. AKeeping the leg hanging down all day
  2. BStrong oral antibiotics for all ulcers
  3. CSurgery to amputate the limb
  4. DCompression therapy
7.Hard

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has a temperature of 38.9 °C, a rigid abdomen and a pulse of 118/min. What does this suggest?

  1. ASimple constipation that needs a laxative
  2. BPerforation with peritonitis
  3. CThe appendicitis has settled by itself
  4. DA side effect of the analgesia given
8.Hard

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

  1. AAcute infective gastroenteritis
  2. BA flare of ulcerative colitis
  3. CFaecal impaction with overflow
  4. DNormal stool pattern on opioids

Answer key

  1. 1. B · Screening adults for malnutrition risk
  2. 2. C · The clinician doing the procedure, or a trained delegate
  3. 3. C · Guarding, rebound tenderness and a rigid abdomen
  4. 4. B · Chew well, and bring in fibrous foods slowly
  5. 5. D · To detect dehydration, fluid overload or kidney problems early
  6. 6. D · Compression therapy
  7. 7. B · Perforation with peritonitis
  8. 8. C · Faecal impaction with overflow

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