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 the typical main symptom of gastro-oesophageal reflux disease (GORD)?

  1. ACramping pain low in the left side of the abdomen
  2. BPainless yellowing of the skin and eyes
  3. CSharp pain in the right shoulder after meals
  4. DBurning pain behind the breastbone (heartburn)
2.Easy

How is the length of a nasogastric tube usually estimated before insertion?

  1. AAny length, as long as the whole tube is inserted
  2. BFrom the nose tip to the earlobe, then to the xiphisternum
  3. CFrom the mouth to the knee on the same side of the body
  4. DFrom the chin to the umbilicus in a straight line
3.Easy

Which fluid is usually used for initial burn resuscitation in adults?

  1. AHartmann's (lactated Ringer's)
  2. BOral fizzy cola drinks
  3. CSterile water for injection, given IV
  4. D50% glucose solution IV
4.Medium

Which statement about pain in older adults is correct?

  1. AOlder adults feel less pain because nerves wear out
  2. BOpioids must never be used in people over 70
  3. CThey may under-report pain, so active assessment is needed
  4. DPain is a normal part of ageing and does not need any treatment at all
5.Medium

Which statement correctly describes physical dependence on opioids?

  1. AThe patient is allergic to opioids
  2. BThe drug no longer has any side effects
  3. CWithdrawal occurs if the drug is stopped suddenly
  4. DThe patient always craves the drug and misuses it despite harm
6.Medium

Why might a patient's platelet count be monitored while they receive heparin?

  1. ATo check whether the heparin is causing anaemia
  2. BTo detect heparin-induced thrombocytopenia
  3. CTo see whether the patient has an infection
  4. DTo measure the heparin dose in the blood exactly
7.Hard

During general anaesthesia, a patient develops jaw rigidity, rising end-tidal CO₂ and tachycardia, then a rapidly rising temperature. Which drug is the specific treatment?

  1. ADantrolene
  2. BSuxamethonium
  3. CParacetamol
  4. DNaloxone
8.Hard

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

  1. AFree air under the diaphragm on an erect chest X-ray
  2. BFluid levels in the bladder on an ultrasound scan
  3. CA raised serum lipase three times the upper limit
  4. DTall, peaked T waves on a 12-lead ECG

Answer key

  1. 1. D · Burning pain behind the breastbone (heartburn)
  2. 2. B · From the nose tip to the earlobe, then to the xiphisternum
  3. 3. A · Hartmann's (lactated Ringer's)
  4. 4. C · They may under-report pain, so active assessment is needed
  5. 5. C · Withdrawal occurs if the drug is stopped suddenly
  6. 6. B · To detect heparin-induced thrombocytopenia
  7. 7. A · Dantrolene
  8. 8. A · Free air under the diaphragm on an erect chest X-ray

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