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

Which feature is typical of a full-thickness burn?

  1. ARed, painful skin without blisters, like sunburn
  2. BMoist, pink skin with large, painful blisters
  3. CLeathery, white or brown skin that is not painful
  4. DSkin that blanches on pressure and heals within a few days
2.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. ATime Out
  2. BSign Out
  3. CHandover
  4. DSign In
3.Easy

Which signs suggest a deep vein thrombosis in the leg?

  1. AItching between the toes of both feet
  2. BCold, pale feet on both sides with no pulse
  3. CA painless rash on both shins
  4. DSwelling, pain, warmth and redness of one calf
4.Medium

What is often the earliest sign of malignant hyperthermia during anaesthesia?

  1. AA steady fall in body temperature
  2. BFlushed skin with a falling CO₂ level
  3. CAn unexplained rise in end-tidal CO₂
  4. DA slowing heart rate and low blood pressure
5.Medium

Which is a recognised side effect of ondansetron?

  1. AHearing loss
  2. BConstipation
  3. CSevere hypoglycaemia
  4. DHair loss
6.Medium

Which presentation fits acute diverticulitis?

  1. ACentral chest pain spreading to the left arm
  2. BLeft lower abdominal pain, fever and a raised CRP
  3. CPainless jaundice with a palpable gallbladder
  4. DRight upper abdominal pain after fatty meals
7.Hard

A patient with three fractured ribs is taking shallow breaths because of pain. Why is effective analgesia a priority?

  1. AGood analgesia makes rib fractures heal fully within a few days
  2. BShallow breathing can lead to atelectasis and pneumonia
  3. CPain relief is only needed for the patient's comfort
  4. DRib pain always means the heart is damaged
8.Hard

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

  1. AThe pacemaker will always be removed during surgery
  2. BPacemakers stop all bleeding during surgery
  3. CThe patient cannot have any anaesthetic at all
  4. DDiathermy can interfere with the pacemaker's function

Answer key

  1. 1. C · Leathery, white or brown skin that is not painful
  2. 2. A · Time Out
  3. 3. D · Swelling, pain, warmth and redness of one calf
  4. 4. C · An unexplained rise in end-tidal CO₂
  5. 5. B · Constipation
  6. 6. B · Left lower abdominal pain, fever and a raised CRP
  7. 7. B · Shallow breathing can lead to atelectasis and pneumonia
  8. 8. D · Diathermy can interfere with the pacemaker's function

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