Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

What does a "reliever" inhaler do in asthma?

  1. AIt relaxes the airway muscles quickly to ease symptoms
  2. BIt thins the mucus over several days
  3. CIt reduces the airway inflammation steadily over several weeks
  4. DIt kills bacteria in the airways
2.Makkelijk

Which description best fits asthma?

  1. AA bacterial infection of the alveoli
  2. BAirway inflammation with variable, reversible airflow obstruction
  3. CPermanent destruction of the alveolar walls caused by smoking
  4. DScarring of the lung tissue that makes the lungs stiff and small
3.Makkelijk

In pericarditis, which structure is inflamed?

  1. AThe inner lining of the heart chambers
  2. BThe heart muscle itself
  3. CThe sac that surrounds the heart
  4. DThe coronary arteries
4.Gemiddeld

A patient with a regular narrow-complex tachycardia of 180/min is alert with a normal blood pressure. What is usually tried first?

  1. AChest compressions until the rate slows
  2. BVagal manoeuvres such as a modified Valsalva
  3. CAn immediate unsynchronised shock with the defibrillator
  4. DA large oral dose of digoxin
5.Gemiddeld

Which ECG finding is typical of atrial flutter?

  1. AA chaotic baseline with no clear P waves and irregular QRS
  2. BRegular sawtooth flutter waves between QRS complexes
  3. CWide, bizarre QRS complexes at 180/min
  4. DP waves with no relationship to the QRS complexes
6.Gemiddeld

A patient with bronchiectasis of the right lower lobe is taught postural drainage. How should they be positioned?

  1. AWith the affected lobe uppermost so gravity drains it
  2. BWith the affected lobe lowest so it fills with mucus
  3. CFlat on the back with the arms raised
  4. DSitting fully upright at all times
7.Moeilijk

A smoker has severe shoulder and arm pain, a drooping eyelid, a small pupil and reduced sweating on the same side of the face. What should be suspected?

  1. AA frozen shoulder with referred pain to the face
  2. BA tumour at the apex of the lung (Pancoast tumour)
  3. CA stroke affecting the brainstem on the opposite side
  4. DA simple migraine
8.Moeilijk

A patient with squamous cell lung cancer becomes confused, thirsty and constipated, with abdominal pain. Which electrolyte disturbance is most likely?

  1. AHypomagnesaemia
  2. BHypokalaemia
  3. CHyponatraemia
  4. DHypercalcaemia

Antwoordenblad

  1. 1. A · It relaxes the airway muscles quickly to ease symptoms
  2. 2. B · Airway inflammation with variable, reversible airflow obstruction
  3. 3. C · The sac that surrounds the heart
  4. 4. B · Vagal manoeuvres such as a modified Valsalva
  5. 5. B · Regular sawtooth flutter waves between QRS complexes
  6. 6. A · With the affected lobe uppermost so gravity drains it
  7. 7. B · A tumour at the apex of the lung (Pancoast tumour)
  8. 8. D · Hypercalcaemia

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