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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Why is adrenaline sometimes added to a local anaesthetic?

  1. AIt narrows vessels, so the block lasts longer and bleeding is less
  2. BIt stops the local anaesthetic causing any allergy
  3. CIt turns the local anaesthetic into a general anaesthetic
  4. DIt makes the patient fall asleep more quickly
2.Makkelijk

Welk weefsel in een genezende wond ziet er rood, vochtig en korrelig uit?

  1. AGeel beleg (slough)
  2. BDroge necrotische korst (eschar)
  3. CNecrotisch weefsel
  4. DGranulatieweefsel
3.Makkelijk

Why are pressure garments worn after burns heal?

  1. ATo hide the scars from other people
  2. BTo keep the patient warm in winter
  3. CTo reduce raised, thick scarring
  4. DTo prevent infection of the healed skin
4.Gemiddeld

Which group of findings suggests obstruction of the bile duct?

  1. APale urine, dark stools and a flapping tremor
  2. BRed urine, black stools and a high blood glucose
  3. CJaundice, dark urine, pale stools and itching
  4. DNormal skin colour with diarrhoea and fever
5.Gemiddeld

Which statement about giving medicines through a feeding tube is correct?

  1. AAll tablets can be crushed together and given at once
  2. BModified-release tablets should not be crushed
  3. CTubes do not need flushing between medicines
  4. DMedicines can be added to the bag of feed
6.Gemiddeld

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

  1. AEat only liquids until the stoma is removed
  2. BEat a normal, balanced diet and introduce foods gradually
  3. CAvoid all fruit and vegetables for the rest of their life
  4. DDrink as little fluid as possible to reduce output
7.Moeilijk

A patient with haematemesis becomes drowsy and starts to vomit blood again. What is the immediate priority?

  1. AComplete the admission paperwork and medication history
  2. BGive a large glass of iced water to slow the bleeding
  3. CTurn the patient onto their side to protect the airway
  4. DSend a stool sample for faecal occult blood testing
8.Moeilijk

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

  1. AThe pacemaker will always be removed during surgery
  2. BThe patient cannot have any anaesthetic at all
  3. CPacemakers stop all bleeding during surgery
  4. DDiathermy can interfere with the pacemaker's function

Antwoordenblad

  1. 1. A · It narrows vessels, so the block lasts longer and bleeding is less
  2. 2. D · Granulatieweefsel
  3. 3. C · To reduce raised, thick scarring
  4. 4. C · Jaundice, dark urine, pale stools and itching
  5. 5. B · Modified-release tablets should not be crushed
  6. 6. B · Eat a normal, balanced diet and introduce foods gradually
  7. 7. C · Turn the patient onto their side to protect the airway
  8. 8. D · Diathermy can interfere with the pacemaker's function

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