Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Which chest X-ray finding is classic for sarcoidosis?
AA visible edge of collapsed lung
BEnlarged lymph nodes at both lung hila
CA completely white lung on one side
DA single round mass in one apex
2.Makkelijk
Which definition best describes heart failure?
AThe heart has completely stopped beating and there is no pulse
BThe heart beats faster than 150 beats per minute for over an hour
CThe heart cannot pump enough blood to meet the body's needs
DA coronary artery is suddenly blocked by a clot
3.Makkelijk
What is the main role of the delay at the atrioventricular (AV) node?
AIt closes the aortic valve
BIt starts each heartbeat by firing faster than the SA node
CIt gives the ventricles time to fill before they contract
DIt speeds the impulse to the ventricles so they beat sooner
4.Gemiddeld
Which investigation is most often used to confirm a pulmonary embolism?
AAbdominal ultrasound
BCT pulmonary angiography
CSputum culture
DPeak flow measurement
5.Gemiddeld
A patient stops ramipril because of a troublesome dry cough. Which drug class is a common alternative?
AA loop diuretic such as furosemide
BA nitrate such as isosorbide mononitrate
CAn angiotensin II receptor blocker such as losartan
DA non-selective beta-blocker such as propranolol
6.Gemiddeld
How does ezetimibe lower cholesterol?
AIt dissolves plaques already in the arteries
BIt reduces absorption of cholesterol from the gut
CIt blocks cholesterol production by enzymes in the liver
DIt increases cholesterol loss in the urine
7.Moeilijk
A patient with a tracheostomy suddenly becomes distressed, and a suction catheter will not pass down the tube. What should the nurse do first?
AInflate the cuff with more air
BGive a nebulised bronchodilator
CRemove the inner cannula
DIncrease the oxygen and wait
8.Moeilijk
Minutes after an IV antibiotic is started, a patient has wheeze, swollen lips, a rash and BP 78/44 mmHg. The infusion has been stopped and help called. What is the next priority?
AGive a nebulised salbutamol dose only
BGive an oral antihistamine tablet and observe for an hour
CRestart the infusion at a slower rate
DGive intramuscular adrenaline (epinephrine)
Antwoordenblad
1. B · Enlarged lymph nodes at both lung hila
2. C · The heart cannot pump enough blood to meet the body's needs
3. C · It gives the ventricles time to fill before they contract
4. B · CT pulmonary angiography
5. C · An angiotensin II receptor blocker such as losartan
6. B · It reduces absorption of cholesterol from the gut
7. C · Remove the inner cannula
8. D · Give intramuscular adrenaline (epinephrine)
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