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

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Naam: ____________________   Datum: ____________

1.Makkelijk

If hair must be removed before surgery, which method is recommended?

  1. APulling the hairs out with tweezers
  2. BElectric clippers on the day of surgery
  3. CA razor shave the night before surgery
  4. DA wax strip several days before surgery
2.Makkelijk

What is the purpose of anti-embolism stockings for surgical patients?

  1. ATo lower the blood pressure after surgery
  2. BTo keep the legs warm in theatre
  3. CTo reduce the risk of deep vein thrombosis
  4. DTo prevent pressure ulcers on the heels
3.Makkelijk

Which feature is typical of Crohn's disease?

  1. AIt affects only the liver and bile ducts
  2. BIt affects only the stomach lining and causes ulcers there
  3. CIt can affect any part of the gut, with normal bowel in between
  4. DIt affects only the rectum and colon, in one continuous stretch
4.Gemiddeld

Welke beoordelingen aan het bed worden gebruikt om ascites te volgen?

  1. ADagelijks gewicht en buikomvang
  2. BPiekstroom en zuurstofsaturatie
  3. CPupilgrootte en reactie twee keer per dag
  4. DCapillaire glucose vóór elke maaltijd
5.Gemiddeld

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

  1. ATo raise the blood pressure during the anaesthetic
  2. BTo make the bowels open before the operation
  3. CTo replace the need for any IV fluids afterwards
  4. DTo reduce insulin resistance and improve recovery
6.Gemiddeld

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

  1. AA side effect of the antibiotic
  2. BRaised blood pressure from pain
  3. CMigraine caused by hospital lighting
  4. DPost-dural puncture headache
7.Moeilijk

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

  1. ACombine two different NSAIDs at lower doses
  2. BTake the NSAID with a glass of milk instead of food
  3. CConsider an alternative; if an NSAID is needed, add a PPI
  4. DUse the highest NSAID dose to shorten the course
8.Moeilijk

On day 5 after bowel resection, a patient has a fever, tachycardia and worsening abdominal pain, and the drain contains brown, faeculent fluid. What is most likely?

  1. APostoperative constipation
  2. BAn anastomotic leak
  3. CA urinary tract infection
  4. DA normal day 5 recovery

Antwoordenblad

  1. 1. B · Electric clippers on the day of surgery
  2. 2. C · To reduce the risk of deep vein thrombosis
  3. 3. C · It can affect any part of the gut, with normal bowel in between
  4. 4. A · Dagelijks gewicht en buikomvang
  5. 5. D · To reduce insulin resistance and improve recovery
  6. 6. D · Post-dural puncture headache
  7. 7. C · Consider an alternative; if an NSAID is needed, add a PPI
  8. 8. B · An anastomotic leak

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