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
What defines type 2 respiratory failure?
ALow PaO₂ with a normal or low PaCO₂
BNormal PaO₂ with a low PaCO₂
CHigh PaO₂ with a high bicarbonate
DLow PaO₂ with a raised PaCO₂
2.Makkelijk
On spirometry, what is the forced vital capacity (FVC)?
AThe volume of one normal resting breath
BThe volume of air blown out in the first second of the test only
CThe volume of air that is left in the lungs after breathing out
DThe total volume blown out forcefully after a full breath in
3.Makkelijk
What does "hypovolaemia" mean?
AA high level of fluid in the tissues
BA low level of haemoglobin with a normal blood volume
CA low level of sodium in the blood
DA reduced volume of blood in the circulation
4.Gemiddeld
Which ECG pattern is typical of acute pericarditis?
AST elevation only in leads II, III and aVF with Q waves
BTall peaked T waves with a wide QRS
CWidespread saddle-shaped ST elevation with PR depression
DA sawtooth baseline with a regular ventricular rate
5.Gemiddeld
Which history is a contraindication to thrombolysis for a STEMI?
ATreated high blood pressure
BMild asthma controlled with inhalers
CA previous haemorrhagic stroke
DA previous appendicectomy many years ago
6.Gemiddeld
Een patiënt die warfarine gebruikt, is elke dag grote salades met spinazie en boerenkool gaan eten. Wat is de belangrijkste zorg?
ADe extra vitamine K kan de INR verhogen
BGroene groenten beschadigen de lever bij warfarinegebruik
CEr is geen interactie tussen voeding en warfarine
DDe extra vitamine K kan de INR verlagen
7.Moeilijk
A patient on a morphine PCA after surgery is very drowsy, with a respiratory rate of 7/min and pinpoint pupils. SpO₂ is 89%. What should the nurse do first?
AStop the PCA, support breathing, give oxygen and get naloxone
BLeave the patient to sleep and recheck the observations in an hour
CGive a sedative to keep the patient comfortable
DEncourage the patient to keep pressing the PCA button for comfort
8.Moeilijk
Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?
APericarditis from the catheter
BIndigestion from the hospital meal
CAcute stent thrombosis
DNormal pain from the procedure site
Antwoordenblad
1. D · Low PaO₂ with a raised PaCO₂
2. D · The total volume blown out forcefully after a full breath in
3. D · A reduced volume of blood in the circulation
4. C · Widespread saddle-shaped ST elevation with PR depression
5. C · A previous haemorrhagic stroke
6. D · De extra vitamine K kan de INR verlagen
7. A · Stop the PCA, support breathing, give oxygen and get naloxone
8. C · Acute stent thrombosis
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