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Naam: ____________________ Datum: ____________
1.Makkelijk
Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?
AVentricular fibrillation
BFirst-degree heart block
CSinus bradycardia
DAsystole
2.Makkelijk
Pain from gallstones (biliary colic) is typically felt in which area?
AThe right upper abdomen, often after a fatty meal
BBehind the left knee
CThe lower back on the left, when walking
DThe left lower abdomen, usually after drinking water
3.Makkelijk
Which of these is one of the "rights" of safe medication administration?
ARight brand of packaging
BRight route
CRight bed number
DRight nurse on duty
4.Gemiddeld
What happens in third-degree (complete) heart block?
ANo impulses from the atria reach the ventricles, so they beat independently
BEvery impulse reaches the ventricles, but each one is slightly delayed
CThe ventricles beat very fast and regularly
DThe atria beat chaotically with no P waves, and the ventricular rate is irregular
5.Gemiddeld
Which pattern is typical of relapsing–remitting multiple sclerosis?
ASudden severe headache with neck stiffness
BA single stroke that leaves permanent weakness
CConstant weakness that starts in the feet and spreads upwards after a viral illness
DAttacks of symptoms, such as visual loss or numbness, that improve between relapses
6.Gemiddeld
Which ECG change is typical of hypokalaemia?
AA very short PR interval with a delta wave
BTall, peaked T waves
CFlattened T waves and prominent U waves
DST elevation in leads II, III and aVF
7.Moeilijk
Een patiënt met sondevoeding na een lange periode van ondervoeding ontwikkelt een laag fosfaat, een laag kalium en ritmestoornissen. Wat is het waarschijnlijkst?
AHyperthyreoïdie
BRefeedingsyndroom
CDiabetische ketoacidose
DDumpingsyndroom
8.Moeilijk
A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?
AConstipation
BIrritable bowel syndrome
CIndigestion that will settle with antacids
DA perforated peptic ulcer
Antwoordenblad
1. A · Ventricular fibrillation
2. A · The right upper abdomen, often after a fatty meal
3. B · Right route
4. A · No impulses from the atria reach the ventricles, so they beat independently
5. D · Attacks of symptoms, such as visual loss or numbness, that improve between relapses
6. C · Flattened T waves and prominent U waves
7. B · Refeedingsyndroom
8. D · A perforated peptic ulcer
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