Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

Gratis printbaar werkblad Medisch-chirurgisch: cardiovasculair en respiratoir: 8 opgaven van makkelijk tot tentamenniveau, met antwoordenblad. Print het of sla het op als pdf.

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Naam: ____________________   Datum: ____________

1.Makkelijk

Welke ritmestoornis verhoogt het risico op een ischemische beroerte het meest?

  1. AAtriumfibrilleren
  2. BSinusaritmie
  3. CSinusbradycardie bij een sporter
  4. DSinustachycardie tijdens inspanning
2.Makkelijk

In an adult over 40, an added third heart sound (S3) most often suggests which problem?

  1. AA normal finding of good fitness
  2. BA narrowed aortic valve
  3. CHeart failure with fluid overload
  4. DInflammation of the pericardium
3.Makkelijk

What is bronchiectasis?

  1. APermanent widening of the bronchi with chronic sputum
  2. BA brief spasm of the airways that fully reverses with treatment
  3. CA tumour of the main bronchus
  4. DDestruction of the alveolar walls with air trapping
4.Gemiddeld

A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?

  1. ARemove the device battery at home if it fires more than once
  2. BOne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
  3. CIgnore any shock at all, because the device is designed to fire every day and needs no follow-up
  4. DDrive straight to hospital alone after any shock so the device can be checked by the team
5.Gemiddeld

What is the main difference between CPAP and bilevel NIV (often called BiPAP)?

  1. ACPAP is given only through a tracheostomy
  2. BBilevel NIV adds a higher inspiratory pressure, helping remove CO₂
  3. CCPAP is mainly used to lower a raised PaCO₂ in COPD exacerbations
  4. DBilevel NIV gives oxygen only, without any positive airway pressure
6.Gemiddeld

Virchow's triad describes three factors that promote venous thrombosis. Which patient factor represents venous stasis?

  1. AAn inherited clotting disorder
  2. BImmobility after major surgery
  3. CDamage to a vein during hip surgery
  4. DTaking an oestrogen-containing pill
7.Moeilijk

A patient on spironolactone and an ACE inhibitor has a potassium of 6,8 mmol/L (6,8 mEq/L) with peaked T waves. What is usually given first to protect the heart?

  1. AIntravenous calcium gluconate or chloride
  2. BAn IV furosemide bolus as the only treatment
  3. CA dose of digoxin
  4. DOral potassium supplements
8.Moeilijk

An older inpatient develops sudden fever, muscle aches and a dry cough during the winter influenza season. Which plan is most appropriate?

  1. AWait a week to see whether the symptoms settle before testing
  2. BLeave them in the open bay and give a course of antibiotics only
  3. CIsolate only if they develop a rash
  4. DIsolate with droplet precautions, test and expect early antivirals

Antwoordenblad

  1. 1. A · Atriumfibrilleren
  2. 2. C · Heart failure with fluid overload
  3. 3. A · Permanent widening of the bronchi with chronic sputum
  4. 4. B · One shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
  5. 5. B · Bilevel NIV adds a higher inspiratory pressure, helping remove CO₂
  6. 6. B · Immobility after major surgery
  7. 7. A · Intravenous calcium gluconate or chloride
  8. 8. D · Isolate with droplet precautions, test and expect early antivirals

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