Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is a Hartmann's procedure?
APlacing a stent in the bile duct
BJoining the stomach directly to the small bowel
CRemoval of the gallbladder through several small abdominal incisions
DRemoval of part of the colon with an end colostomy and rectal stump
2.Makkelijk
Wat is ascites?
AVocht in de pleuraholte rond de longen
BEen geblokkeerde ductus choledochus
CVrij vocht in de buikholte
DZwelling van beide enkels
3.Makkelijk
Which diet is usually advised to help prevent symptoms of diverticular disease?
AA diet with no fruit or vegetables
BA diet based mainly on red meat
CA high-fibre diet with plenty of fluids
DA low-fibre diet with very little fluid
4.Gemiddeld
Which advice helps prevent dumping syndrome after gastrectomy?
ASit upright and walk briskly straight after every meal
BSmall, frequent meals low in simple sugars, with fluids between meals
CThree large meals a day with plenty of sweet drinks with each meal
DA high-sugar diet with fruit juice to keep energy levels up
5.Gemiddeld
Wat is het tumorlysissyndroom?
AEen langzaam groeiende tumor die op de zenuwen drukt
BEen allergische reactie op een chemotherapie-infuus
CEen metabool spoedgeval door snelle afbraak van kankercellen
DEen huidreactie in een gebied dat recent met bestraling is behandeld
6.Gemiddeld
Why is it important to prevent perioperative hypothermia?
AIt makes patients wake up from the anaesthetic too quickly
BIt reduces the amount of anaesthetic needed, which is unsafe
CIt increases bleeding, wound infection and heart complications
DIt lowers the risk of pain after surgery
7.Moeilijk
During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?
AIV glucose 50%
BIV naloxone
CIV dantrolene
DIV lipid emulsion
8.Moeilijk
A patient is splashed in the eye with an alkaline cleaning product. What is the first action?
AIrrigate the eye at once with large volumes of water or saline
BAdd a few drops of vinegar to neutralise it
CAsk the patient to rub the eye to clear it
DCover the eye with a pad and wait for a doctor to examine it first
Antwoordenblad
1. D · Removal of part of the colon with an end colostomy and rectal stump
2. C · Vrij vocht in de buikholte
3. C · A high-fibre diet with plenty of fluids
4. B · Small, frequent meals low in simple sugars, with fluids between meals
5. C · Een metabool spoedgeval door snelle afbraak van kankercellen
6. C · It increases bleeding, wound infection and heart complications
7. D · IV lipid emulsion
8. A · Irrigate the eye at once with large volumes of water or saline
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