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

Where is biliary colic typically felt?

  1. AIn the right upper abdomen, often after a fatty meal
  2. BIn the left lower abdomen, after passing stool
  3. CIn the lower back, after lifting something heavy
  4. DIn the groin, after standing for a long time
2.Easy

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

  1. AAn ibuprofen tablet with food
  2. BRelaxation and distraction
  3. CA morphine injection into the thigh
  4. DA lidocaine patch
3.Easy

Which features are typical of a superficial partial-thickness burn?

  1. ACharred skin with exposed muscle and bone
  2. BBlisters, a moist pink base and severe pain
  3. CRedness only, with no blisters, like sunburn
  4. DDry, white, leathery skin with no pain
4.Medium

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

  1. AIV fluids followed by an IV bisphosphonate
  2. BFluid restriction and a thiazide diuretic
  3. CA high-calcium diet with extra milk
  4. DOral calcium tablets and vitamin D
5.Medium

Which liver function test pattern suggests bile duct obstruction?

  1. AVery high ALT with a normal bilirubin only
  2. BHigh bilirubin with a markedly raised ALP and GGT
  3. CNormal bilirubin with a low ALP and low GGT
  4. DA low albumin with all other results normal
6.Medium

Which statement about corticosteroids in inflammatory bowel disease is correct?

  1. AThey are given only as a one-off injection
  2. BThey cure the disease after one course
  3. CThey are used to induce remission, not for maintenance
  4. DThey are the best long-term maintenance treatment
7.Hard

A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?

  1. ALeave it uncovered and dry it with a hair dryer
  2. BMassage around the wound every hour to stimulate blood flow to the skin
  3. CSit the patient upright in a chair for most of the day
  4. DOffload the area, manage moisture, support nutrition and dress it
8.Hard

A patient on a long-term opioid for chronic pain is admitted for surgery. Which statement is correct?

  1. AThey should receive only paracetamol after the operation is over
  2. BAll opioids should be stopped on admission to prevent addiction
  3. CThe usual opioid is continued, plus extra analgesia, due to tolerance
  4. DThey need lower postoperative opioid doses than opioid-naive patients

Answer key

  1. 1. A · In the right upper abdomen, often after a fatty meal
  2. 2. B · Relaxation and distraction
  3. 3. B · Blisters, a moist pink base and severe pain
  4. 4. A · IV fluids followed by an IV bisphosphonate
  5. 5. B · High bilirubin with a markedly raised ALP and GGT
  6. 6. C · They are used to induce remission, not for maintenance
  7. 7. D · Offload the area, manage moisture, support nutrition and dress it
  8. 8. C · The usual opioid is continued, plus extra analgesia, due to tolerance

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