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

What is a carcinoma?

1. AA cancer of white blood cells
2. BA cancer arising from epithelial cells
3. CA cancer arising from bone or muscle
4. DA benign growth of fatty tissue

Hoe beschrijven patiënten neuropathische pijn meestal?

1. ABrandend, schietend of als elektrische schokken
2. BEen doffe pijn die erger wordt bij bewegen
3. CEen kloppende pijn die alleen optreedt bij druk op het gebied
4. DEen krampende pijn die in golven komt

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA chest X-ray
2. BA bladder ultrasound scan
3. CA 12-lead ECG
4. DA blood glucose test

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. AA rise in platelet count above normal
2. BSevere constipation within the first hour of starting the infusion
3. CAn infusion reaction, such as fever, rigors or breathlessness
4. DSudden hair loss during the infusion

Which statement about pain relief in acute pancreatitis is correct?

1. AOnly paracetamol may be given
2. BPain relief should be withheld until the diagnosis is certain
3. COpioids can be used, and good analgesia is a priority
4. DOpioids must never be used in pancreatitis

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. AIt shows how long the anaesthetic gas was used
2. BThe surgeon is paid per minute of use
3. CLong inflation can cause nerve and muscle damage
4. DThe tourniquet slowly loses all its air after one minute

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AInform the surgical and anaesthetic teams, who will check the INR
2. BProceed with the usual checklist and say nothing
3. CGive a double dose of vitamin K by mouth without waiting for a prescription
4. DTell her the surgery must be cancelled for a month

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AA rash after taking amoxicillin as a child, with a family history of asthma
2. BHay fever every spring since childhood
3. CItching with bananas, avocado and kiwi, and many operations
4. DFeeling sick after eating shellfish once