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Naam: ____________________ Datum: ____________
1.Makkelijk
A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?
ACategory 2
BCategory 1
CCategory 3
DCategory 4
2.Makkelijk
Gout is caused by:
AUric acid crystals forming in a joint
BWear and tear of the joint cartilage
CA lack of calcium in the diet
DA bacterial infection of the bone
3.Makkelijk
The term "pallor" means:
ABluish fingertips
BA red, raised rash
CAbnormal paleness of the skin
DYellowing of the skin and eyes
4.Gemiddeld
Which pattern is typical of relapsing–remitting multiple sclerosis?
AA single stroke that leaves permanent weakness
BSudden severe headache with neck stiffness
CAttacks of symptoms, such as visual loss or numbness, that improve between relapses
DConstant weakness that starts in the feet and spreads upwards after a viral illness
5.Gemiddeld
Een patiënt met diabetes type 2 is acuut ziek, sterk uitgedroogd en heeft een bloedglucose van 40 mmol/L zonder noemenswaardige ketonen. Wat is de waarschijnlijkste diagnose?
AHypoglykemie
BDiabetische ketoacidose met uitdroging
CHyperosmolaire hyperglykemische toestand
DDiabetes insipidus
6.Gemiddeld
A patient has a fentanyl patch for chronic pain. Which advice is correct?
AAvoid heat sources such as hot water bottles over the patch
BKeep using the old patch with the new one
CCut the patch in half if the pain improves, to lower the dose
DApply the patch to broken skin for faster effect
7.Moeilijk
A potassium result of 6,9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?
ARepeat the blood test promptly, as haemolysis can falsely raise potassium
BIgnore the result because the patient looks well and the ECG is normal
CStart a potassium supplement
DGive IV insulin and glucose straight away
8.Moeilijk
A patient with severe sepsis starts bleeding from cannula sites and the gums, with a low platelet count and prolonged clotting times. What is most likely?
ADisseminated intravascular coagulation
BVitamin C deficiency
CHaemophilia A
DAn allergic reaction to the cannula
Antwoordenblad
1. A · Category 2
2. A · Uric acid crystals forming in a joint
3. C · Abnormal paleness of the skin
4. C · Attacks of symptoms, such as visual loss or numbness, that improve between relapses
5. C · Hyperosmolaire hyperglykemische toestand
6. A · Avoid heat sources such as hot water bottles over the patch
7. A · Repeat the blood test promptly, as haemolysis can falsely raise potassium
8. A · Disseminated intravascular coagulation
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