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

What is healing by secondary intention?

1. AA wound left open that heals from the base upwards
2. BA wound closed a few days after it was left open
3. CA wound that heals without any new tissue
4. DA wound closed with sutures straight after surgery

What is an anastomosis in bowel surgery?

1. AAn opening of the bowel onto the skin
2. BA tube placed in the bowel for feeding
3. CA drain placed beside the bowel
4. DA surgical join between two ends of bowel

On a numerical rating scale for pain, what do 0 and 10 usually mean?

1. A0 is the worst pain and 10 is no pain at all
2. BThe numbers show how many hours the pain has lasted
3. C0 is mild pain and 10 is moderate pain
4. D0 is no pain and 10 is the worst pain imaginable

Which herbal supplement is commonly asked about before surgery because it may increase bleeding?

1. APeppermint oil
2. BCranberry
3. CGinkgo biloba
4. DChamomile

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. ALoss of the sense of smell
2. BPermanent high blood glucose
3. CDamage to the heart muscle
4. DExcess growth of body hair

Which PPE is usually recommended when giving cytotoxic chemotherapy?

1. AChemo-tested gloves and impermeable gown
2. BA paper surgical mask but no gloves
3. COrdinary cotton gloves and a plastic apron
4. DNo PPE, because the infusion bag is sealed

A patient with an epidural after abdominal surgery has BP 82/48 mmHg, a pulse of 70/min and warm feet. Bleeding has been excluded. What is the most likely cause?

1. AAnaphylaxis to the local anaesthetic
2. BCardiogenic shock after surgery
3. CSympathetic block from the epidural
4. DHypovolaemic shock from blood loss

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA normal spinal effect
2. BA post-dural puncture headache
3. CAn anxiety attack
4. DA high spinal block