Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Thromboangiitis obliterans (Buerger's disease) is most strongly linked with which factor?
ADrinking coffee
BLack of sleep
CSmoking tobacco
DA high-salt diet
2.Makkelijk
Which examination findings are typical of a large pleural effusion?
ADullness to percussion and reduced breath sounds
BNormal percussion and bronchial breathing
CCoarse crackles that clear on coughing
DHyper-resonance and a loud wheeze over the affected side
3.Makkelijk
Drug names ending in "-olol", such as bisoprolol and atenolol, belong to which class?
ACalcium channel blockers
BBeta-blockers
CLoop diuretics
DACE inhibitors
4.Gemiddeld
After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?
AAvoid heavy lifting and pushing up with the arms
BSleep only on the stomach to protect the wound
CLift the arms above the head often to stretch the chest
DAvoid walking until the stitches are removed
5.Gemiddeld
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
AClass II
BClass IV
CClass III
DClass I
6.Gemiddeld
Why is active tuberculosis treated with several drugs for at least six months?
ATo reduce the number of side effects compared with one drug
BTo kill slow-growing bacteria and prevent drug resistance
CBecause the bacteria are resistant to all drugs at first
DBecause each drug works on a different organ only
7.Moeilijk
A patient has new chest pain at rest. The ECG shows ST depression, but serial troponins remain normal. Which diagnosis fits best?
ANon-ST-elevation myocardial infarction
BStable angina
CST-elevation myocardial infarction
DUnstable angina
8.Moeilijk
Two days after a coronary stent, a patient on aspirin and ticagrelor has black, tarry stools and feels faint on standing. What should the nurse do?
AReassure the patient that iron tablets cause black stools
BGive a laxative and repeat the observations tomorrow
CStop both antiplatelet drugs permanently on the nurse's own decision
DCheck vital signs, report urgently and anticipate a blood count
Antwoordenblad
1. C · Smoking tobacco
2. A · Dullness to percussion and reduced breath sounds
3. B · Beta-blockers
4. A · Avoid heavy lifting and pushing up with the arms
5. C · Class III
6. B · To kill slow-growing bacteria and prevent drug resistance
7. D · Unstable angina
8. D · Check vital signs, report urgently and anticipate a blood count
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