Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden

Waar wordt de pijn van acute pancreatitis typisch gevoeld?

1. AIn de linkerschoudertop, erger bij diep ademhalen
2. BRechtsonder in de buik, bij de heup
3. CIn de bovenbuik (epigastrium), vaak uitstralend naar de rug
4. DLaag in de rug, afnemend bij plat liggen

What does a faecal immunochemical test (FIT) detect?

1. ABacteria that cause food poisoning
2. BParasites and their eggs in the stool
3. CHidden human blood in the stool
4. DFat in the stool from poor absorption

Welke twee factoren zijn de meest voorkomende oorzaken van maagzweren (peptische ulcera)?

1. AInfectie met Helicobacter pylori en NSAID's
2. BRoken en te veel sterke koffie
3. CPittig eten en langdurige psychische of werkgerelateerde stress
4. DMelk drinken en citrusvruchten eten

Why are many patients screened for MRSA before planned surgery?

1. ASo that carriers can be decolonised to reduce infection
2. BTo decide which anaesthetic drug to use
3. CTo check whether the patient has had a flu vaccine
4. DSo that surgery can be cancelled for all positive patients

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. ALeave the air bubble in and inject into a skin fold
2. BExpel the air bubble first and inject into the deltoid muscle
3. CInject into a vein in the back of the hand
4. DRub the site firmly afterwards to help absorption

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. AParacetamol and codeine cause a severe allergic reaction when combined
2. BIt already contains paracetamol, so overdose could occur
3. CCo-codamol must be stopped a week before any paracetamol
4. DCo-codamol stops paracetamol from working

A sacral wound has heavy exudate, and the surrounding skin is white, soft and wrinkled. What should the nurse do?

1. ALeave the same dressing in place for a week so the wound is not disturbed
2. BProtect the skin edges and use a more absorbent dressing
3. CUse a dressing that adds even more moisture
4. DApply a tight plastic film directly over the wound

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AFluid levels in the bladder on an ultrasound scan
2. BA raised serum lipase three times the upper limit
3. CFree air under the diaphragm on an erect chest X-ray
4. DTall, peaked T waves on a 12-lead ECG