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

Which three principles reduce staff radiation exposure when caring for a patient with a sealed radiation source?

  1. AGloves, gown and mask
  2. BSpeed, noise and lighting
  3. CTime, distance and shielding
  4. DHeat, light and humidity
2.Easy

Which sign suggests acute cholecystitis?

  1. APain that stops a deep breath when the right upper abdomen is pressed
  2. BA flapping tremor of the hands when the arms are held out
  3. CBruising around the umbilicus and over both flanks of the abdomen
  4. DPain in the left lower abdomen when the right side is pressed
3.Easy

What is cancer cachexia?

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

Why is it important to prevent perioperative hypothermia?

  1. AIt lowers the risk of pain after surgery
  2. BIt makes patients wake up from the anaesthetic too quickly
  3. CIt increases bleeding, wound infection and heart complications
  4. DIt reduces the amount of anaesthetic needed, which is unsafe
5.Medium

Which dressing is generally suitable for a dry, sloughy wound that needs moisture?

  1. AA hydrogel
  2. BAn alginate
  3. CDry gauze
  4. DA foam
6.Medium

How should a patient use an incentive spirometer after surgery?

  1. ABreathe quickly in and out ten times in a row
  2. BBreathe in slowly and deeply, then hold briefly
  3. CUse it once a day, just before going to sleep at night
  4. DBlow out as hard and as fast as possible
7.Hard

Hours after an epidural catheter is removed, a patient on an anticoagulant develops back pain and worsening leg weakness. What should be suspected?

  1. ANormal wearing-off of the epidural block over the day
  2. BA sacral pressure ulcer causing referred leg pain
  3. CAn epidural haematoma, needing emergency review and MRI
  4. DA urinary tract infection causing back pain
8.Hard

Which fluid strategy is generally recommended in the first hours of acute pancreatitis?

  1. AVery large volumes, whatever the patient's response
  2. BIV albumin alone instead of any crystalloid
  3. CGoal-directed balanced crystalloid, guided by the response
  4. DNo IV fluid at all, only small sips of oral water

Answer key

  1. 1. C · Time, distance and shielding
  2. 2. A · Pain that stops a deep breath when the right upper abdomen is pressed
  3. 3. A · Severe loss of weight and muscle that diet alone does not reverse
  4. 4. C · It increases bleeding, wound infection and heart complications
  5. 5. A · A hydrogel
  6. 6. B · Breathe in slowly and deeply, then hold briefly
  7. 7. C · An epidural haematoma, needing emergency review and MRI
  8. 8. C · Goal-directed balanced crystalloid, guided by the response

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