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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1.Easy

Why should rings, watches and tight clothing be removed early after a burn to the arm?

  1. ASwelling may follow, and they could cut off the circulation
  2. BThey interfere with the rule of nines calculation of burn size
  3. CMetal items always cause infection in burns
  4. DThey make the burn look worse in photographs
2.Easy

Where is the pain of acute pancreatitis typically felt?

  1. AIn the left shoulder tip, worse on deep breathing
  2. BIn the right lower abdomen, near the hip
  3. CIn the epigastrium, often radiating to the back
  4. DLow in the back, eased by lying flat
3.Easy

Which feature is typical of a full-thickness burn?

  1. ASkin that blanches on pressure and heals within a few days
  2. BLeathery, white or brown skin that is not painful
  3. CRed, painful skin without blisters, like sunburn
  4. DMoist, pink skin with large, painful blisters
4.Medium

Why do patients with major burns lose so much fluid in the first 24–48 hours?

  1. AThe kidneys stop making urine completely
  2. BPatients drink far too little in hospital in the first days
  3. CLeaky capillaries let plasma move into the tissues
  4. DThe burned skin absorbs fluid from the air
5.Medium

Which lung problem is a known toxicity of bleomycin?

  1. APneumothorax from coughing
  2. BPulmonary fibrosis
  3. CAsthma from pollen
  4. DLung cancer within weeks
6.Medium

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

  1. AA side effect of the antibiotic
  2. BMigraine caused by hospital lighting
  3. CRaised blood pressure from pain
  4. DPost-dural puncture headache
7.Hard

A patient with gastric outlet obstruction has vomited repeatedly for several days. Which blood picture is most likely?

  1. ALow chloride, low potassium and metabolic alkalosis
  2. BHigh chloride, high potassium and metabolic acidosis
  3. CNormal electrolytes with respiratory alkalosis
  4. DHigh calcium, high sodium and respiratory acidosis
8.Hard

Ten days after chemotherapy, a patient has a temperature of 37.6 °C but feels shivery and unwell, with a pulse of 112/min and BP 95/60 mmHg. What is the correct action?

  1. AReassure the patient, because the temperature is still below 38 °C
  2. BGive paracetamol and recheck the temperature again in four hours
  3. CWait for the neutrophil count before deciding on any treatment
  4. DTreat as possible neutropenic sepsis: IV antibiotics within an hour

Answer key

  1. 1. A · Swelling may follow, and they could cut off the circulation
  2. 2. C · In the epigastrium, often radiating to the back
  3. 3. B · Leathery, white or brown skin that is not painful
  4. 4. C · Leaky capillaries let plasma move into the tissues
  5. 5. B · Pulmonary fibrosis
  6. 6. D · Post-dural puncture headache
  7. 7. A · Low chloride, low potassium and metabolic alkalosis
  8. 8. D · Treat as possible neutropenic sepsis: IV antibiotics within an hour

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