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

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

  1. AHandover
  2. BSign In
  3. CTime Out
  4. DSign Out
2.Easy

What is cancer cachexia?

  1. AA fever that occurs after every chemotherapy cycle and lasts several days
  2. BSevere loss of weight and muscle that diet alone does not reverse
  3. CWeight gain caused by steroid treatment
  4. DA skin rash from radiotherapy
3.Easy

What is neutropenia?

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

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

  1. AA heart attack during the operation
  2. BAn allergy to the dressing on the wound
  3. CGas used during surgery irritating the diaphragm
  4. DA dislocated shoulder from patient positioning
5.Medium

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

  1. ASevere constipation within the first hour of starting the infusion
  2. BAn infusion reaction, such as fever, rigors or breathlessness
  3. CSudden hair loss during the infusion
  4. DA rise in platelet count above normal
6.Medium

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

  1. ARaised blood pressure from pain
  2. BA side effect of the antibiotic
  3. CMigraine caused by hospital lighting
  4. DPost-dural puncture headache
7.Hard

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

  1. AIV glucose 50%
  2. BIV naloxone
  3. CIV dantrolene
  4. DIV lipid emulsion
8.Hard

A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?

  1. ATake a double dose to protect the heart
  2. BStop it one week before any operation
  3. CTake it only after the operation is finished
  4. DUsually continue it with a sip of water, unless told otherwise

Answer key

  1. 1. C · Time Out
  2. 2. B · Severe loss of weight and muscle that diet alone does not reverse
  3. 3. B · A low neutrophil count
  4. 4. C · Gas used during surgery irritating the diaphragm
  5. 5. B · An infusion reaction, such as fever, rigors or breathlessness
  6. 6. D · Post-dural puncture headache
  7. 7. D · IV lipid emulsion
  8. 8. D · Usually continue it with a sip of water, unless told otherwise

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