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

Which blood test is commonly used to diagnose acute pancreatitis?

  1. ATroponin above the 99th centile
  2. BBilirubin over three times the upper normal limit
  3. CThyroid-stimulating hormone level
  4. DLipase or amylase over 3 times normal
2.Easy

What does "coffee-ground" vomit usually indicate?

  1. AA side effect of drinking strong coffee
  2. BBlood that has been partly digested by stomach acid
  3. CBile coming back from an obstructed small bowel
  4. DUndigested food from several days ago
3.Easy

What is atelectasis?

  1. AA blood clot in a leg vein
  2. BSwelling of both ankles caused by lying in bed after surgery
  3. CCollapse of small air sacs in part of the lung
  4. DInfection of the surgical wound
4.Medium

Which medicine commonly delays wound healing?

  1. AParacetamol
  2. BSaline eye drops
  3. CVitamin C supplements
  4. DLong-term corticosteroids
5.Medium

Why might urea rise much more than creatinine in a patient with an upper GI bleed?

  1. ADigested blood is a protein load that raises urea
  2. BUrea is produced by the bleeding stomach lining
  3. CThe bleed always damages the kidney tubules directly
  4. DCreatinine is lost from the body in the vomit
6.Medium

Why are accurate fluid balance charts kept after major surgery?

  1. ATo record when visitors come and go
  2. BTo check how far the patient has walked and how often they get out of bed
  3. CTo detect dehydration, fluid overload or kidney problems early
  4. DTo decide which meal the patient will have next
7.Hard

Why is naloxone usually given in small, repeated doses to a postoperative patient with opioid-induced respiratory depression?

  1. ATo make the opioid work faster and more strongly
  2. BBecause large doses of naloxone have no extra effect at all
  3. CBecause high doses of naloxone cause respiratory depression
  4. DTo restore breathing without causing severe pain and withdrawal
8.Hard

Which patient is at highest risk of respiratory depression from a postoperative opioid PCA?

  1. AAn opioid-naive older patient with sleep apnoea who also takes a sedative
  2. BA young patient who has used opioids regularly for many months
  3. CA patient whose pain score is 8/10 and who is wide awake and alert
  4. DA patient with no other medical problems who receives paracetamol

Answer key

  1. 1. D · Lipase or amylase over 3 times normal
  2. 2. B · Blood that has been partly digested by stomach acid
  3. 3. C · Collapse of small air sacs in part of the lung
  4. 4. D · Long-term corticosteroids
  5. 5. A · Digested blood is a protein load that raises urea
  6. 6. C · To detect dehydration, fluid overload or kidney problems early
  7. 7. D · To restore breathing without causing severe pain and withdrawal
  8. 8. A · An opioid-naive older patient with sleep apnoea who also takes a sedative

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