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

Which feature is typical of an arterial leg ulcer?

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

Which electrolyte typically falls in refeeding syndrome?

1. AChloride
2. BPhosphate
3. CSodium
4. DCalcium

Why does jaundice develop in liver disease?

1. AYellow pigment from food is stored in the skin
2. BThe liver makes too many red blood cells at once
3. CBilirubin builds up as the liver cannot clear it
4. DThe kidneys make too much urea for the body

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ALarger wounds that heal faster
2. BNo need for a general anaesthetic ever
3. CNo risk of any complications at all
4. DLess pain and a shorter hospital stay

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. AIt shows how long the anaesthetic gas was used
2. BThe surgeon is paid per minute of use
3. CThe tourniquet slowly loses all its air after one minute
4. DLong inflation can cause nerve and muscle damage

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo replace the need for any IV fluids afterwards
2. BTo raise the blood pressure during the anaesthetic
3. CTo reduce insulin resistance and improve recovery
4. DTo make the bowels open before the operation

A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?

1. AThrow it in the clinical waste bag
2. BUse long-handled forceps to put it in the lead container; report it
3. CPick it up with gloved hands and put it in the nearest sharps bin quickly
4. DLeave it in the bed until the end of the shift

During burn resuscitation, an 80 kg adult's urine output is 15 mL/h for 2 hours. What does this indicate?

1. AUnder-resuscitation; the fluid rate usually needs increasing
2. BA blocked catheter that should simply be removed
3. CFluid overload; all IV fluids should be stopped now
4. DA normal urine output for a patient with burns