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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

What is the purpose of anti-embolism stockings for surgical patients?

  1. ATo reduce the risk of deep vein thrombosis
  2. BTo keep the legs warm in theatre
  3. CTo lower the blood pressure after surgery
  4. DTo prevent pressure ulcers on the heels
2.Easy

What is dumping syndrome after gastric surgery?

  1. ALeakage of bile from the liver into the abdominal cavity
  2. BReflux of bowel contents back into the oesophagus
  3. CSlow emptying of the stomach causing food to stay for days
  4. DRapid passage of food from the stomach into the small bowel
3.Easy

Which finding is typical of a perforated peptic ulcer?

  1. ASudden severe abdominal pain with a rigid, board-like abdomen
  2. BSlow onset of mild pain relieved fully by eating
  3. CPainless bright red bleeding from the rectum over several days
  4. DA soft, non-tender abdomen with loud, frequent bowel sounds
4.Medium

How is the height of an epidural sensory block usually checked?

  1. AChecking the colour of the patient's urine
  2. BMeasuring the patient's blood glucose level
  3. CTapping the knee with a reflex hammer and recording the score
  4. DTesting sensation to cold with ice or a cold spray
5.Medium

Which area is used as a quick estimate of 1% of body surface area for small or scattered burns?

  1. AThe examiner's palm including the fingers
  2. BThe patient's hand and forearm
  3. CThe patient's thumbnail
  4. DThe patient's palm including the fingers
6.Medium

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

  1. APermanent high blood glucose
  2. BDamage to the heart muscle
  3. CExcess growth of body hair
  4. DLoss of the sense of smell
7.Hard

A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?

  1. AA fistula between the colon and the bladder
  2. BA simple lower urinary tract infection
  3. CA kidney stone blocking the ureter
  4. DBowel preparation that was taken too quickly
8.Hard

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

  1. AIt raises the risk of ketoacidosis, even with near-normal glucose
  2. BIt interacts with all general anaesthetic gases and stops them working
  3. CIt causes the surgical wound to bleed more
  4. DIt makes the patient's potassium dangerously high

Answer key

  1. 1. A · To reduce the risk of deep vein thrombosis
  2. 2. D · Rapid passage of food from the stomach into the small bowel
  3. 3. A · Sudden severe abdominal pain with a rigid, board-like abdomen
  4. 4. D · Testing sensation to cold with ice or a cold spray
  5. 5. D · The patient's palm including the fingers
  6. 6. B · Damage to the heart muscle
  7. 7. A · A fistula between the colon and the bladder
  8. 8. A · It raises the risk of ketoacidosis, even with near-normal glucose

Full step-by-step solutions: practise this topic on examproblems.com.