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Naam: ____________________ Datum: ____________
1.Makkelijk
Een patiënt met verdenking op longtuberculose moet worden verzorgd met:
AAlleen contactisolatie
BAlleen standaardvoorzorgsmaatregelen op een open afdeling
CAerogene isolatie in een eenpersoonskamer
DGeen speciale voorzorgsmaatregelen
2.Makkelijk
What is the immediate first aid after a needlestick injury?
AWash the wound with soap and running water without scrubbing
BSuck the wound to remove the blood, then cover it with a plaster
CScrub the wound hard with a brush
DIgnore it if the needle looked clean
3.Makkelijk
Which of these intravenous fluids is isotonic?
A10% glucose
B8,4% sodium bicarbonate
C0,9% sodium chloride
D3% sodium chloride
4.Gemiddeld
A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?
ASodium, because both drugs raise it sharply
BGlucose, because both drugs cause hyperglycaemia
CPotassium, because both drugs can raise it
DCalcium, because both drugs lower it
5.Gemiddeld
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
AOnly with the patient lying flat
BWithout monitoring oxygen saturation
CDriven by compressed air, with oxygen given separately if needed
DDriven by high-flow oxygen at 15 L/min for as long as possible
6.Gemiddeld
A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?
AMetabolic acidosis
BMetabolic alkalosis
CRespiratory alkalosis
DRespiratory acidosis
7.Moeilijk
A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?
A"If I forget a dose, I'll take two the next day to catch up."
B"I will take it at the same time each day."
C"I will report any blood in my urine."
D"I will tell other doctors and my dentist I take an anticoagulant."
8.Moeilijk
A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?
ACushing's syndrome, managed with potassium
BSIADH, often managed first with fluid restriction
CDehydration, managed with an IV fluid bolus
DDiabetes insipidus, managed with extra fluids
Antwoordenblad
1. C · Aerogene isolatie in een eenpersoonskamer
2. A · Wash the wound with soap and running water without scrubbing
3. C · 0,9% sodium chloride
4. C · Potassium, because both drugs can raise it
5. C · Driven by compressed air, with oxygen given separately if needed
6. A · Metabolic acidosis
7. A · "If I forget a dose, I'll take two the next day to catch up."
8. B · SIADH, often managed first with fluid restriction
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