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

When should pain be reassessed after giving analgesia?

1. AWhen the drug is expected to have taken effect
2. BNever, as one assessment is enough
3. COnly at the next routine observation round the next day
4. DOnly if the patient asks for more analgesia

What is metastasis?

1. AShrinking of a tumour after treatment
2. BHealing of tissue after a biopsy
3. CSpread of cancer cells to a distant part of the body
4. DThe first appearance of a tumour in a single organ of the body

What is an ERCP?

1. AA blood test that measures pancreatic enzymes
2. BA CT scan of the abdomen without contrast
3. CAn open operation to remove the gallbladder
4. DAn endoscopic test to view and treat the bile and pancreatic ducts

Why are antiemetics usually given before chemotherapy starts?

1. AThey cannot be given once nausea has started
2. BAntiemetics make the chemotherapy work better
3. CThey stop the chemotherapy from causing hair loss and mouth sores
4. DPreventing nausea works better than treating it later

Waarom heeft vaste (geplande) pijnstilling in de eerste dagen na een grote operatie vaak de voorkeur boven doses “zo nodig”?

1. AHet maakt het overbodig de pijn van de patiënt overdag te beoordelen
2. BHet maakt het mogelijk doses boven de maximale dagdosis te geven
3. CHet houdt de geneesmiddelspiegels stabiel en voorkomt ernstige pijnpieken
4. DHet voorkomt alle bijwerkingen van opioïden volledig

Which advice may help reduce the risk of a parastomal hernia after stoma surgery?

1. ADo intensive sit-ups from the first week
2. BKeep the stoma bag as full as possible
3. CAvoid heavy lifting early on and use support garments as advised
4. DStrain hard on the toilet each day to strengthen the abdominal muscles

A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?

1. A"I'll rub the area afterwards to spread the medicine."
2. B"I'll put the used syringe in the sharps bin."
3. C"I'll change the injection site each day."
4. D"I'll report any unusual bruising or bleeding."

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient is exaggerating, so the pain scores should be ignored for now
2. BThe patient needs only distraction and no change in drugs
3. CPain may be undertreated; reassess and ask for a review of the plan
4. DThe patient is addicted and should have analgesia withheld