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Naam: ____________________ Datum: ____________
1.Makkelijk
Which urine dipstick findings most suggest a urinary tract infection?
AA low specific gravity alone
BGlucose and ketones
CBilirubin and urobilinogen
DNitrites and leucocytes
2.Makkelijk
Wat is de gebruikelijke streefwaarde voor de zuurstofsaturatie (SpO2) bij de meeste acuut zieke volwassenen zonder risico op hypercapnie?
A80–84%
BAltijd 100%
C88–92% voor iedereen
D94–98%
3.Makkelijk
Speldenknoppupillen, trage ademhaling en sufheid na een operatie wijzen het meest waarschijnlijk op:
AHypoglykemie
BAlleen een verhoogde intracraniële druk
CUitdroging
DOpioïdintoxicatie
4.Gemiddeld
Why is it important to prevent hypothermia during and after surgery?
AIt makes the patient's pain disappear
BIt increases the risk of wound infection, bleeding and cardiac complications
CIt causes high blood glucose only
DIt makes the patient wake up too quickly and become agitated in recovery
5.Gemiddeld
A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?
AConstipation
BNormal dialysis fluid
CA urinary tract infection
DPeritonitis
6.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 atria beat chaotically with no P waves, and the ventricular rate is irregular
DThe ventricles beat very fast and regularly
7.Moeilijk
A patient with known prostate cancer reports new back pain, leg weakness and difficulty passing urine. What should be suspected?
AMetastatic spinal cord compression
BHypokalaemia
CA urinary tract infection spreading to the back
DSimple mechanical back pain
8.Moeilijk
A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?
AIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
BPost-renal acute kidney injury from obstruction, treated with a catheter
CChronic kidney disease, treated with long-term dialysis three times a week
DPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
Antwoordenblad
1. D · Nitrites and leucocytes
2. D · 94–98%
3. D · Opioïdintoxicatie
4. B · It increases the risk of wound infection, bleeding and cardiac complications
5. D · Peritonitis
6. A · No impulses from the atria reach the ventricles, so they beat independently
7. A · Metastatic spinal cord compression
8. D · Pre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
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