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
Wat is het gebruikelijke INR-streefgebied voor een patiënt die warfarine gebruikt vanwege atriumfibrilleren?
A2,0–3,0
B1,0–1,5
C0,5–1,0
D4,0–5,0
2.Makkelijk
Which valve lies between the left atrium and the left ventricle?
AThe pulmonary valve
BThe aortic valve
CThe mitral valve
DThe tricuspid valve
3.Makkelijk
Which vessels carry oxygenated blood from the lungs to the heart?
AThe pulmonary veins
BThe coronary sinus
CThe venae cavae
DThe pulmonary arteries
4.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
BApply tight jewellery to the left wrist
CUse only the left arm for heavy lifting to build up its muscles
DAvoid BP cuffs and injections on the left arm where possible
5.Gemiddeld
Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?
AIt raises the heart rate sharply during an acute asthma attack
BIt can cause bronchospasm by blocking beta-2 receptors
CIt makes inhaled corticosteroids work too strongly
DIt thickens airway mucus by drying the airways
6.Gemiddeld
Which ECG finding is typical of atrial flutter?
AA chaotic baseline with no clear P waves and irregular QRS
BRegular sawtooth flutter waves between QRS complexes
CP waves with no relationship to the QRS complexes
DWide, bizarre QRS complexes at 180/min
7.Moeilijk
After six weeks of treatment for tuberculosis, a patient has nausea, dark urine and yellow eyes. What should the nurse do?
AAdvise taking the tablets with an alcoholic drink to settle the stomach
BDouble the isoniazid dose to clear the infection faster
CReassure the patient that the urine colour is due to rifampicin
DWithhold the next doses and report urgently for liver tests
8.Moeilijk
A patient with severe aortic stenosis is prescribed glyceryl trinitrate (nitroglycerin) for chest pain. Why should the nurse use particular caution?
AVasodilators can cause a severe fall in BP with a fixed outflow obstruction
BGTN makes the narrowed aortic valve tighten further within a few minutes
CGTN raises the blood pressure dangerously in aortic stenosis
DThere is no reason for caution, because GTN acts only on the coronary arteries
Antwoordenblad
1. A · 2,0–3,0
2. C · The mitral valve
3. A · The pulmonary veins
4. D · Avoid BP cuffs and injections on the left arm where possible
5. B · It can cause bronchospasm by blocking beta-2 receptors
6. B · Regular sawtooth flutter waves between QRS complexes
7. D · Withhold the next doses and report urgently for liver tests
8. A · Vasodilators can cause a severe fall in BP with a fixed outflow obstruction
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