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 a parastomal hernia?

  1. AA bulge of bowel through the abdominal wall next to a stoma
  2. BA sore, red area of skin under the stoma bag from leaking output
  3. CA stoma that has sunk below the level of the skin
  4. DA narrowing of the stoma opening
2.Easy

What is the main purpose of a biopsy when cancer is suspected?

  1. ATo confirm the diagnosis by examining tissue
  2. BTo measure the patient's blood count
  3. CTo remove all the cancer at once
  4. DTo give chemotherapy directly into the tumour
3.Easy

Which two factors are the most common causes of peptic ulcers?

  1. AHelicobacter pylori infection and NSAIDs
  2. BDrinking milk and eating citrus fruit
  3. CSmoking and too much strong coffee
  4. DSpicy food and long-term psychological or work stress
4.Medium

Which neutrophil count indicates severe neutropenia?

  1. AAbove 2.0 × 109/L
  2. BAbove 10 × 109/L
  3. CBelow 0.5 × 109/L
  4. DBelow 7.5 × 109/L
5.Medium

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

  1. AThey kill the normal bowel bacteria
  2. BThey cause serious liver failure in most patients who take them
  3. CThey make the stool sample test positive falsely
  4. DThey may keep toxin in the bowel and risk toxic megacolon
6.Medium

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

  1. ADrink as little fluid as possible to reduce output
  2. BAvoid all fruit and vegetables for the rest of their life
  3. CEat only liquids until the stoma is removed
  4. DEat a normal, balanced diet and introduce foods gradually
7.Hard

Why is folinic acid (leucovorin) given after high-dose methotrexate?

  1. ATo rescue normal cells from methotrexate toxicity
  2. BTo prevent hair loss during treatment
  3. CTo treat the patient's anaemia only
  4. DTo increase the anticancer effect on the tumour
8.Hard

A patient has an implanted port for chemotherapy. Which needle is used to access it?

  1. AAn intramuscular injection needle
  2. BA wide-bore cannula with a steel stylet
  3. CA standard hollow needle used for venepuncture
  4. DA non-coring (Huber) needle

Answer key

  1. 1. A · A bulge of bowel through the abdominal wall next to a stoma
  2. 2. A · To confirm the diagnosis by examining tissue
  3. 3. A · Helicobacter pylori infection and NSAIDs
  4. 4. C · Below 0.5 × 109/L
  5. 5. D · They may keep toxin in the bowel and risk toxic megacolon
  6. 6. D · Eat a normal, balanced diet and introduce foods gradually
  7. 7. A · To rescue normal cells from methotrexate toxicity
  8. 8. D · A non-coring (Huber) needle

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