Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the pleura?
AA double membrane lining the lungs and the inner chest wall
BThe cartilage rings of the trachea
CThe dome-shaped muscle that separates the chest from the abdomen
DThe tiny air sacs at the ends of the airways where gas exchange happens
2.Makkelijk
Amlodipine belongs to which drug class?
ACalcium channel blockers
BCardioselective beta-blockers
CAngiotensin-converting enzyme inhibitors
DLoop diuretics
3.Makkelijk
Welke bloedtest wordt gebruikt om warfarinetherapie te controleren?
AINR (international normalised ratio)
BAantal bloedplaatjes
CGeactiveerde partiële tromboplastinetijd
DAnti-Xa-spiegel
4.Gemiddeld
A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?
AIt turns the statin into a blood thinner
BIt stops the statin from being absorbed from the gut at all
CIt causes the cholesterol level to rise sharply
DIt raises statin levels and the risk of muscle damage
5.Gemiddeld
A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?
AKeep the left arm hanging down and as still as possible all day
BAvoid BP cuffs and injections on the left arm where possible
CUse only the left arm for heavy lifting to build up its muscles
DApply tight jewellery to the left wrist
6.Gemiddeld
A patient uses a glyceryl trinitrate (nitroglycerin) patch for angina. Why is it usually removed for several hours each day?
AThe patch works only during the night
BA nitrate-free interval prevents tolerance
CIt lowers the risk of a high potassium level
DThe skin needs a break to absorb a larger dose
7.Moeilijk
A patient being treated for infective endocarditis of the mitral valve suddenly develops slurred speech and weakness of the right arm. What is the most likely cause?
AAn embolus from a valve vegetation causing a stroke
BA side effect of the IV antibiotic on the nerves
CA migraine aura triggered by the fever
DLow blood glucose from a reduced appetite
8.Moeilijk
A patient who has had a total laryngectomy becomes breathless and needs oxygen. How should it be given?
AVia nasal cannula at 2 L/min
BVia a mask or humidified device over the neck stoma
CVia a non-rebreather mask over the mouth only
DVia a standard face mask over the nose and mouth
Antwoordenblad
1. A · A double membrane lining the lungs and the inner chest wall
2. A · Calcium channel blockers
3. A · INR (international normalised ratio)
4. D · It raises statin levels and the risk of muscle damage
5. B · Avoid BP cuffs and injections on the left arm where possible
6. B · A nitrate-free interval prevents tolerance
7. A · An embolus from a valve vegetation causing a stroke
8. B · Via a mask or humidified device over the neck stoma
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