Med-surg: GI, perioperative & oncology worksheet with answers

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

1. ASpicy food and long-term psychological or work stress
2. BHelicobacter pylori infection and NSAIDs
3. CDrinking milk and eating citrus fruit
4. DSmoking and too much strong coffee

How do patients typically describe neuropathic pain?

1. AA cramping pain that comes in waves
2. BA throbbing pain only when the area is pressed
3. CA dull ache that is worse on movement
4. DBurning, shooting or like electric shocks

Which symptom is typical of haemorrhoids?

1. ABright red blood on the paper after opening the bowels
2. BVomiting of dark, coffee-ground material
3. CYellow skin, dark urine and pale stools that float in the toilet
4. DBlack, tarry stools with a strong smell

Which liver function test pattern suggests bile duct obstruction?

1. AHigh bilirubin with a markedly raised ALP and GGT
2. BNormal bilirubin with a low ALP and low GGT
3. CVery high ALT with a normal bilirubin only
4. DA low albumin with all other results normal

Which advice helps a patient with haemorrhoids?

1. AEat more fibre, drink enough fluid and avoid straining
2. BTake a codeine-based painkiller every day
3. CEat less fibre so that stools are smaller
4. DSit on the toilet for long periods to empty fully

Which advice helps a person with diabetes prevent foot ulcers?

1. ACheck the feet every day and never walk barefoot
2. BSoak the feet in very hot water every evening
3. CWear tight shoes to support the ankles
4. DCut corns off at home with a sharp blade

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. ACircumferential chest burns, with breathing becoming shallow and laboured
2. BPartial-thickness burns to both legs, with pain rated 8/10
3. CRedness on the backs of both hands, and very anxious
4. DA blistered forearm burn and a small cut on the knee

A patient with bone metastases is starting regular zoledronic acid. Which advice is important?

1. ATake extra calcium only on the day of infusion
2. BAvoid all physical activity for six months
3. CStop drinking all fluids on the day of each infusion
4. DHave a dental check and report jaw pain or loose teeth