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

What is a parastomal hernia?

  1. AA sore, red area of skin under the stoma bag from leaking output
  2. BA narrowing of the stoma opening
  3. CA bulge of bowel through the abdominal wall next to a stoma
  4. DA stoma that has sunk below the level of the skin
2.Easy

What is metastasis?

  1. AHealing of tissue after a biopsy
  2. BShrinking of a tumour after treatment
  3. CThe first appearance of a tumour in a single organ of the body
  4. DSpread of cancer cells to a distant part of the body
3.Easy

Which feature is typical of an arterial leg ulcer?

  1. AA blister on the heel with plenty of hair growth
  2. BA painless wound on the shin with normal pulses
  3. CA shallow, wet wound around the ankle with warm, swollen skin
  4. DA painful, punched-out wound on a cold, pale foot
4.Medium

When breaking bad news, what is the first step in frameworks such as SPIKES?

  1. AGive all treatment options before checking understanding
  2. BGive the diagnosis as quickly as possible in the corridor
  3. CAsk the family to decide what the patient should be told
  4. DSet up a private setting with enough time
5.Medium

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
6.Medium

How can low-dose opioids help a patient with breathlessness from advanced cancer?

  1. AThey reduce the feeling of breathlessness
  2. BThey open the airways like an inhaler
  3. CThey cure the underlying lung disease
  4. DThey increase the oxygen level in the blood
7.Hard

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

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

A patient with diabetes has rapidly spreading redness around a small wound, severe pain out of proportion, fever and crackling under the skin. What should the nurse suspect?

  1. AMild contact dermatitis
  2. BA simple insect bite
  3. CNecrotising fasciitis
  4. DA healing venous ulcer

Answer key

  1. 1. C · A bulge of bowel through the abdominal wall next to a stoma
  2. 2. D · Spread of cancer cells to a distant part of the body
  3. 3. D · A painful, punched-out wound on a cold, pale foot
  4. 4. D · Set up a private setting with enough time
  5. 5. A · Pain 2–3 hours after meals and at night, eased by eating
  6. 6. A · They reduce the feeling of breathlessness
  7. 7. A · The usual opioid is continued, plus extra analgesia, due to tolerance
  8. 8. C · Necrotising fasciitis

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