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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the usual normal platelet count in adults?
A150–400 × 109/L (150,000–400,000/mm3)
B1,000–2,000 × 109/L (1–2 million/mm3)
C4–11 × 109/L (4,000–11,000/mm3)
D1–2 × 109/L (1,000–2,000/mm3)
2.Makkelijk
What does "dysphagia" mean?
ADifficulty speaking
BDifficulty breathing
CPain when passing urine
DDifficulty swallowing
3.Makkelijk
Why is a platelet transfusion given?
ATo treat a high white cell count in a patient with infection or leukaemia
BTo prevent or treat bleeding in a patient with low or poorly working platelets
CTo provide extra protein
DTo raise the haemoglobin level in a patient with anaemia
4.Gemiddeld
Which type of painkiller should a patient with liver cirrhosis usually avoid?
AParacetamol (acetaminophen), given in a carefully reduced and monitored dose
BLocal anaesthetic creams
CNon-steroidal anti-inflammatory drugs such as ibuprofen
DHot packs applied to a painful joint
5.Gemiddeld
What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?
AIt has no risk of bleeding
BIt never interacts with other drugs
CIt does not need routine INR monitoring
DIt is safe in all patients with severe kidney failure
6.Gemiddeld
A patient is receiving IV fluids for several days. Which monitoring is essential?
AFluid balance, regular weights and urea, creatinine and electrolytes
BMonthly HbA1c
CWeekly temperature and a single blood glucose reading
DPeak flow readings
7.Moeilijk
After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?
AA base-of-skull fracture with a cerebrospinal fluid leak
BA normal and harmless response to head trauma
CAllergic rhinitis triggered by the hospital environment
DAcute sinusitis
8.Moeilijk
A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?
AHead tilt with chin lift
BJaw thrust
CHyperextending the neck
DTurning the head to one side
Antwoordenblad
1. A · 150–400 × 109/L (150,000–400,000/mm3)
2. D · Difficulty swallowing
3. B · To prevent or treat bleeding in a patient with low or poorly working platelets
4. C · Non-steroidal anti-inflammatory drugs such as ibuprofen
5. C · It does not need routine INR monitoring
6. A · Fluid balance, regular weights and urea, creatinine and electrolytes
7. A · A base-of-skull fracture with a cerebrospinal fluid leak
8. B · Jaw thrust
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