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 tool helps assess pain in a person with advanced dementia who cannot report it?

  1. AThe Glasgow Coma Scale, scored every hour
  2. BAn observational scale such as PAINAD or Abbey
  3. CA numerical rating scale from 0 to 10, read out slowly
  4. DThe MUST nutrition score
2.Easy

What is metastasis?

  1. AShrinking of a tumour after treatment
  2. BSpread of cancer cells to a distant part of the body
  3. CHealing of tissue after a biopsy
  4. DThe first appearance of a tumour in a single organ of the body
3.Easy

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

  1. A36%
  2. B9%
  3. C18%
  4. D27%
4.Medium

Why are patients with large burns at risk of hypothermia?

  1. AThe fluids given are always chilled
  2. BLoss of skin reduces their ability to keep in heat
  3. CTheir metabolism stops after the injury
  4. DBurns always cause a low thyroid hormone level in the blood
5.Medium

Which presentation fits acute diverticulitis?

  1. ACentral chest pain spreading to the left arm
  2. BLeft lower abdominal pain, fever and a raised CRP
  3. CRight upper abdominal pain after fatty meals
  4. DPainless jaundice with a palpable gallbladder
6.Medium

What is often the earliest sign of malignant hyperthermia during anaesthesia?

  1. AFlushed skin with a falling CO₂ level
  2. BA slowing heart rate and low blood pressure
  3. CA steady fall in body temperature
  4. DAn unexplained rise in end-tidal CO₂
7.Hard

A patient with breast cancer becomes confused, thirsty and constipated, with polyuria. Which oncological emergency should be considered?

  1. ATumour lysis syndrome
  2. BHypoglycaemia
  3. CHypercalcaemia of malignancy
  4. DSuperior vena cava obstruction
8.Hard

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

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

Answer key

  1. 1. B · An observational scale such as PAINAD or Abbey
  2. 2. B · Spread of cancer cells to a distant part of the body
  3. 3. C · 18%
  4. 4. B · Loss of skin reduces their ability to keep in heat
  5. 5. B · Left lower abdominal pain, fever and a raised CRP
  6. 6. D · An unexplained rise in end-tidal CO₂
  7. 7. C · Hypercalcaemia of malignancy
  8. 8. A · Offload the area, manage moisture, support nutrition and dress it

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