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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Welke twee oorzaken zijn verantwoordelijk voor de meeste gevallen van acute pancreatitis?

  1. AVirale verkoudheden en stress
  2. BGalstenen en alcohol
  3. CVeel vezels en uitdroging
  4. DRoken en obesitas
2.Makkelijk

How is parenteral nutrition given?

  1. AThrough a nasogastric tube into the stomach
  2. BBy mouth as a thick supplement drink
  3. CInto a vein, usually through a central line
  4. DInto the muscle of the thigh
3.Makkelijk

What is the usual adult reference range for platelets?

  1. AAbout 15–40 × 109/L
  2. BAbout 1500–4000 × 109/L
  3. CAbout 150–400 × 109/L
  4. DAbout 4–11 × 109/L
4.Gemiddeld

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

  1. ANo food at all until the confusion settles
  2. BOnly clear fluids for several weeks
  3. CNormal protein and enough calories, with a late-evening snack
  4. DA very low-protein diet for the rest of their life to lower ammonia
5.Gemiddeld

What is achalasia?

  1. AA tear at the junction of the oesophagus and the stomach
  2. BInflammation of the oesophagus caused by a fungal infection
  3. CWeakness of the lower oesophageal sphincter that allows reflux
  4. DFailure of the lower oesophageal sphincter to relax on swallowing
6.Gemiddeld

Which drug class is used to reduce the risk of a first variceal bleed in cirrhosis?

  1. AThiazide diuretics
  2. BProton pump inhibitors
  3. CNon-selective beta-blockers
  4. DCalcium supplements
7.Moeilijk

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has a temperature of 38,9 °C, a rigid abdomen and a pulse of 118/min. What does this suggest?

  1. ASimple constipation that needs a laxative
  2. BA side effect of the analgesia given
  3. CThe appendicitis has settled by itself
  4. DPerforation with peritonitis
8.Moeilijk

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

  1. ARedness on the backs of both hands, and very anxious
  2. BA blistered forearm burn and a small cut on the knee
  3. CCircumferential chest burns, with breathing becoming shallow and laboured
  4. DPartial-thickness burns to both legs, with pain rated 8/10

Antwoordenblad

  1. 1. B · Galstenen en alcohol
  2. 2. C · Into a vein, usually through a central line
  3. 3. C · About 150–400 × 109/L
  4. 4. C · Normal protein and enough calories, with a late-evening snack
  5. 5. D · Failure of the lower oesophageal sphincter to relax on swallowing
  6. 6. C · Non-selective beta-blockers
  7. 7. D · Perforation with peritonitis
  8. 8. C · Circumferential chest burns, with breathing becoming shallow and laboured

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