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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1.Easy

Why does a low serum albumin contribute to oedema?

  1. AIt causes the heart to pump more blood into the legs
  2. BIt raises blood pressure and pushes fluid into the kidneys
  3. CIt lowers oncotic pressure, so fluid leaks into tissues
  4. DIt blocks the lymph vessels in the abdomen
2.Easy

When should pain be reassessed after giving analgesia?

  1. AOnly if the patient asks for more analgesia
  2. BNever, as one assessment is enough
  3. COnly at the next routine observation round the next day
  4. DWhen the drug is expected to have taken effect
3.Easy

Which adverse effects are linked with NSAIDs such as ibuprofen?

  1. AConstipation and pinpoint pupils
  2. BStomach bleeding and kidney injury
  3. CHair loss and low white cell count
  4. DWeight gain and high potassium only
4.Medium

Which neutrophil count indicates severe neutropenia?

  1. AAbove 10 × 109/L
  2. BBelow 7.5 × 109/L
  3. CBelow 0.5 × 109/L
  4. DAbove 2.0 × 109/L
5.Medium

Which is a recognised cause of anaphylaxis during surgery?

  1. ASterile normal saline
  2. BThe patient's own blood from cell salvage
  3. CA warmed blanket
  4. DChlorhexidine skin preparation
6.Medium

Why are patients with cirrhosis at increased risk of bleeding?

  1. AThe scarred liver releases anticoagulant substances such as heparin into the blood
  2. BCirrhosis raises the platelet count, which makes platelets weaker
  3. CFewer clotting factors, low platelets and varices from portal hypertension
  4. DHigh arterial blood pressure in cirrhosis makes vessels burst
7.Hard

Using the adult rule of nines, what is the total burn area of the whole right arm plus the whole front of the trunk (both with partial-thickness burns)?

  1. A45%
  2. B36%
  3. C27%
  4. D18%
8.Hard

A patient is splashed in the eye with an alkaline cleaning product. What is the first action?

  1. AAsk the patient to rub the eye to clear it
  2. BCover the eye with a pad and wait for a doctor to examine it first
  3. CAdd a few drops of vinegar to neutralise it
  4. DIrrigate the eye at once with large volumes of water or saline

Answer key

  1. 1. C · It lowers oncotic pressure, so fluid leaks into tissues
  2. 2. D · When the drug is expected to have taken effect
  3. 3. B · Stomach bleeding and kidney injury
  4. 4. C · Below 0.5 × 109/L
  5. 5. D · Chlorhexidine skin preparation
  6. 6. C · Fewer clotting factors, low platelets and varices from portal hypertension
  7. 7. C · 27%
  8. 8. D · Irrigate the eye at once with large volumes of water or saline

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