Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which structure is the heart's natural pacemaker?

  1. AThe sinoatrial (SA) node
  2. BThe atrioventricular (AV) node
  3. CThe Purkinje fibres
  4. DThe bundle of His
2.Makkelijk

Which group of symptoms suggests obstructive sleep apnoea?

  1. ANight sweats, weight loss and a cough lasting several weeks
  2. BWheeze, cough and itchy eyes that come on after exercise
  3. CLoud snoring, pauses in breathing and daytime sleepiness
  4. DFever, cough and rust-coloured sputum
3.Makkelijk

What is a thoracentesis?

  1. ARemoving a lobe of the lung
  2. BMeasuring lung volumes by blowing into a tube
  3. CInserting a flexible camera into the airways to look inside
  4. DRemoving fluid from the pleural space with a needle
4.Gemiddeld

A pulse oximeter on a patient's finger gives an unreliable, flickering reading. Which factor is the most likely cause?

  1. ACold hands with poor peripheral circulation
  2. BThe patient sitting upright in a chair
  3. CThe patient having eaten recently
  4. DA regular heart rate of 75 beats per minute
5.Gemiddeld

Shortly after a permanent pacemaker is inserted via the subclavian vein, the patient becomes breathless with reduced breath sounds on that side. What complication should be suspected?

  1. APulmonary oedema
  2. BPericarditis
  3. CPneumothorax
  4. DAsthma
6.Gemiddeld

Where is the V1 electrode placed for a 12-lead ECG?

  1. AThe fourth intercostal space just right of the sternum
  2. BOver the left nipple
  3. CThe fifth intercostal space in the mid-axillary line
  4. DJust below the left collarbone
7.Moeilijk

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

  1. ADeliver an unsynchronised shock at once and then check the pulse
  2. BContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
  3. CGive adenosine to slow the rhythm down
  4. DStop CPR, because an organised rhythm on the monitor means recovery
8.Moeilijk

A heavy smoker is having surgery tomorrow and asks whether stopping smoking now is pointless. Which reply is most accurate?

  1. AStopping even today lowers carbon monoxide levels before surgery
  2. BStopping now will make the operation more dangerous
  3. CSmoking before surgery protects the lungs from the anaesthetic gases
  4. DIt is pointless unless they stopped smoking at least a year ago

Antwoordenblad

  1. 1. A · The sinoatrial (SA) node
  2. 2. C · Loud snoring, pauses in breathing and daytime sleepiness
  3. 3. D · Removing fluid from the pleural space with a needle
  4. 4. A · Cold hands with poor peripheral circulation
  5. 5. C · Pneumothorax
  6. 6. A · The fourth intercostal space just right of the sternum
  7. 7. B · Continue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
  8. 8. A · Stopping even today lowers carbon monoxide levels before surgery

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