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

Which sign suggests acute cholecystitis?

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

Which measure helps prevent burn scar contractures?

1. AApplying ice packs to the scar every day
2. BKeeping the joint bent in the most comfortable position
3. CPositioning, splinting and regular stretching exercises
4. DAvoiding all movement until the wound has healed

Which statement about hepatitis C is correct?

1. AIt is spread mainly through blood, and there is no vaccine
2. BIt is spread mainly by food, and a vaccine is given to babies
3. CIt always clears by itself within two weeks
4. DIt can be treated only with a liver transplant

Which area is used as a quick estimate of 1% of body surface area for small or scattered burns?

1. AThe patient's hand and forearm
2. BThe patient's palm including the fingers
3. CThe patient's thumbnail
4. DThe examiner's palm including the fingers

What is the most important safety point about misoprostol?

1. AIt must be given only by deep intramuscular injection
2. BIt strongly raises blood glucose in people with diabetes
3. CIt can cause miscarriage and must not be used in pregnancy
4. DIt causes severe constipation in most patients

Why is IV hydration given with cisplatin?

1. ATo prevent hair loss
2. BTo protect the kidneys from damage
3. CTo raise the blood pressure during treatment
4. DTo make the drug less effective

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

1. ANormal stool pattern on opioids
2. BAcute infective gastroenteritis
3. CFaecal impaction with overflow
4. DA flare of ulcerative colitis

During general anaesthesia, a patient develops jaw rigidity, rising end-tidal CO₂ and tachycardia, then a rapidly rising temperature. Which drug is the specific treatment?

1. ADantrolene
2. BSuxamethonium
3. CNaloxone
4. DParacetamol