Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which examination findings are typical of a large pleural effusion?

  1. AHyper-resonance and a loud wheeze over the affected side
  2. BDullness to percussion and reduced breath sounds
  3. CCoarse crackles that clear on coughing
  4. DNormal percussion and bronchial breathing
2.Makkelijk

In which situation can a pulse oximeter show a falsely normal reading?

  1. ABreathing room air
  2. BCarbon monoxide poisoning
  3. CA warm hand at rest
  4. DA regular pulse of 80/min
3.Makkelijk

What is Cheyne–Stokes breathing?

  1. ACycles of deeper then shallower breaths followed by a pause
  2. BConstant deep, fast breathing that never changes in depth
  3. CA harsh, high-pitched sound on breathing in through the throat
  4. DBreathing only through pursed lips
4.Gemiddeld

Why does a large, rapidly forming pericardial effusion lower the blood pressure?

  1. AIt dilates the arteries throughout the body
  2. BIt makes the heart muscle contract too strongly and too fast
  3. CIt causes the aortic valve to leak backwards into the ventricle
  4. DIt compresses the heart and stops the ventricles filling
5.Gemiddeld

A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?

  1. AOral bisoprolol
  2. BIntravenous amiodarone
  3. CIntravenous adenosine
  4. DIntravenous atropine
6.Gemiddeld

A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?

  1. AUse a mouthpiece or protect the eyes from the mist
  2. BRun it at the highest possible gas flow
  3. CGive it only with the patient lying completely flat
  4. DMix it with an eye drop before putting it in the nebuliser
7.Moeilijk

A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?

  1. AAn intravenous beta-blocker
  2. BAn intravenous thrombolytic
  3. COral aspirin
  4. DAn intravenous fluid bolus
8.Moeilijk

Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?

  1. AA tension pneumothorax
  2. BA vasovagal reaction
  3. CA myocardial infarction
  4. DAnaphylaxis

Antwoordenblad

  1. 1. B · Dullness to percussion and reduced breath sounds
  2. 2. B · Carbon monoxide poisoning
  3. 3. A · Cycles of deeper then shallower breaths followed by a pause
  4. 4. D · It compresses the heart and stops the ventricles filling
  5. 5. D · Intravenous atropine
  6. 6. A · Use a mouthpiece or protect the eyes from the mist
  7. 7. A · An intravenous beta-blocker
  8. 8. B · A vasovagal reaction

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