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

Where are venous leg ulcers usually found?

1. AOn the front of the thigh
2. BOn the sole of the foot under the heel
3. COn the tips of the toes and between the toes
4. DAround the inner ankle, in the gaiter area

What does PCA stand for in pain management?

1. APatient-controlled analgesia
2. BPost-care assessment
3. CPain control by an assistant
4. DPrescribed continuous anaesthesia

Why are rectal temperatures and suppositories avoided in a patient with neutropenia?

1. AThey interfere with the absorption of chemotherapy
2. BThey make the patient's white cell count fall even further
3. CThey can damage the mucosa and let bacteria into the blood
4. DThey always give falsely low temperature readings

Why is blood lactate measured when sepsis is suspected?

1. AIt shows which bacteria are causing the infection
2. BIt measures the effect of antibiotics on the kidney
3. CA raised level suggests poor tissue perfusion
4. DIt replaces the need for blood cultures

Which electrolyte abnormality can contribute to a postoperative ileus?

1. AHypokalaemia
2. BHyperkalaemia
3. CHyperphosphataemia
4. DHypernatraemia

Which medicine commonly delays wound healing?

1. AParacetamol
2. BSaline eye drops
3. CLong-term corticosteroids
4. DVitamin C supplements

A patient has a circumferential full-thickness burn of the upper arm. Which assessment is most important over the next hours?

1. ACirculation and sensation of the hand
2. BVisual acuity in both eyes daily
3. CBowel sounds and abdominal girth
4. DPupil size and reaction to light

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

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