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

Which is an example of a non-drug method of pain relief?

1. AA lidocaine patch
2. BA morphine injection into the thigh
3. CRelaxation and distraction
4. DAn ibuprofen tablet with food

Which exercises are usually taught to patients before major surgery?

1. ADeep breathing, coughing and leg exercises
2. BHeavy weightlifting to build strength
3. CHolding the breath for as long as possible
4. DLong-distance running every day

Which electrolyte typically falls in refeeding syndrome?

1. ASodium
2. BChloride
3. CPhosphate
4. DCalcium

Which drug class is used to reduce the risk of a first variceal bleed in cirrhosis?

1. AThiazide diuretics
2. BNon-selective beta-blockers
3. CCalcium supplements
4. DProton pump inhibitors

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

1. APain 2–3 hours after meals and at night, eased by eating
2. BPain in the right lower abdomen with fever and vomiting
3. CPain straight after eating that is worsened by food
4. DPain only on deep breathing that eases when sitting forwards

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

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

1. AUsually continue it with a sip of water, unless told otherwise
2. BTake a double dose to protect the heart
3. CStop it one week before any operation
4. DTake it only after the operation is finished

A patient with 35% TBSA burns is entering the hypermetabolic phase. Which nutrition plan is most appropriate?

1. AEarly enteral feeding, high in energy and protein
2. BNil by mouth for two weeks to rest the gut fully
3. CClear fluids only until the burn wounds have healed
4. DA low-protein diet to protect the kidneys from damage