Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Mesothelioma of the pleura is strongly linked with exposure to which substance?
ACoal dust
BWood smoke
CAsbestos
DPollen
2.Makkelijk
What defines type 2 respiratory failure?
ALow PaO₂ with a raised PaCO₂
BLow PaO₂ with a normal or low PaCO₂
CNormal PaO₂ with a low PaCO₂
DHigh PaO₂ with a high bicarbonate
3.Makkelijk
On spirometry, what does a reduced FEV1/FVC ratio indicate?
ANormal lung function
BLow haemoglobin
CObstruction to airflow
DWeak heart muscle
4.Gemiddeld
Wat betekent een verhoogde D-dimeeruitslag?
AEen longembolie of DVT is bevestigd
BEr is afbraak van fibrine, maar het bewijst geen stolsel
CEen diepe veneuze trombose is veilig uitgesloten
DDe dosis antistollingsmiddel is te laag en moet omhoog
5.Gemiddeld
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
ANo more than half the internal diameter of the tube
BLarger than the tube, so that it clears it completely
CAny size, as the diameter does not matter
DExactly the same diameter as the tube, for a tight fit
6.Gemiddeld
After varicose vein surgery, which advice is usually given?
AWear the compression stockings as advised and walk regularly
BStand still for long periods to help the veins heal
CStay in bed for two weeks with the legs hanging down
DAvoid all walking until the bruising has gone
7.Moeilijk
After four days of antibiotics for pneumonia, a patient still has fever and pleuritic pain. There is dullness and reduced breath sounds at the right base. What complication should be suspected?
AAsthma triggered by the infection
BAn allergic reaction to the antibiotic
CNormal recovery from pneumonia
DA parapneumonic effusion or empyema
8.Moeilijk
After a car crash, a patient is severely breathless with absent breath sounds on the right, a deviated trachea, distended neck veins and BP 76/40 mmHg. What is the immediate management?
ALying the patient flat with the legs raised
BUrgent needle or finger decompression of the right chest
CInsertion of a urinary catheter to monitor output
DA chest X-ray to confirm the diagnosis before any treatment
Antwoordenblad
1. C · Asbestos
2. A · Low PaO₂ with a raised PaCO₂
3. C · Obstruction to airflow
4. B · Er is afbraak van fibrine, maar het bewijst geen stolsel
5. A · No more than half the internal diameter of the tube
6. A · Wear the compression stockings as advised and walk regularly
7. D · A parapneumonic effusion or empyema
8. B · Urgent needle or finger decompression of the right chest
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