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 carcinoma?

  1. AA cancer of white blood cells
  2. BA cancer arising from bone or muscle
  3. CA cancer arising from epithelial cells
  4. DA benign growth of fatty tissue
2.Easy

Which precaution is most important to reduce infection in a patient with neutropenia?

  1. AKeeping the patient in bed
  2. BAntibiotics for every visitor
  3. CKeeping the curtains closed all day
  4. DStrict hand hygiene by everyone
3.Easy

What is the main aim of palliative care?

  1. AReplacing all other medical treatment
  2. BImproving quality of life for people with serious illness
  3. COnly providing care in the last hour of life
  4. DCuring the disease at any cost, whatever the side effects
4.Medium

What does "neoadjuvant" treatment mean?

  1. ATreatment given only for pain relief
  2. BTreatment before the main treatment, often to shrink the tumour
  3. CTreatment that is given only after the cancer has already spread
  4. DTreatment that is given instead of any surgery
5.Medium

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

  1. APain straight after eating that is worsened by food
  2. BPain 2–3 hours after meals and at night, eased by eating
  3. CPain only on deep breathing that eases when sitting forwards
  4. DPain in the right lower abdomen with fever and vomiting
6.Medium

Why is the "whoosh" test no longer used to check nasogastric tube position?

  1. AAir can be heard even when the tube is in the lung
  2. BThe test is far too painful for most patients to tolerate
  3. CIt needs an X-ray machine at the bedside
  4. DThe air always makes the tube block
7.Hard

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

  1. ALate dumping with low blood glucose; check capillary glucose
  2. BAn anastomotic leak; insert a nasogastric tube at once
  3. CEarly dumping from fluid shifts; give a large drink of water
  4. DVitamin B12 deficiency; give an injection now
8.Hard

An immobile patient on opioids drinks very little. Which laxative choice is least appropriate?

  1. AA stimulant laxative taken regularly
  2. BA bulk-forming laxative used on its own
  3. CA stool softener with a stimulant laxative
  4. DAn osmotic laxative such as a macrogol

Answer key

  1. 1. C · A cancer arising from epithelial cells
  2. 2. D · Strict hand hygiene by everyone
  3. 3. B · Improving quality of life for people with serious illness
  4. 4. B · Treatment before the main treatment, often to shrink the tumour
  5. 5. B · Pain 2–3 hours after meals and at night, eased by eating
  6. 6. A · Air can be heard even when the tube is in the lung
  7. 7. A · Late dumping with low blood glucose; check capillary glucose
  8. 8. B · A bulk-forming laxative used on its own

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