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

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Naam: ____________________   Datum: ____________

1.Makkelijk

What does "coffee-ground" vomit usually indicate?

  1. AUndigested food from several days ago
  2. BA side effect of drinking strong coffee
  3. CBile coming back from an obstructed small bowel
  4. DBlood that has been partly digested by stomach acid
2.Makkelijk

What is the basic idea of the WHO analgesic ladder?

  1. AUse only one drug at a time, never in combination
  2. BStep up from non-opioids to weak, then strong, opioids as needed
  3. CAlways start with the strongest opioid available and then reduce it slowly
  4. DGive analgesia only when the patient asks for it
3.Makkelijk

What is a common reason for giving a premedication before surgery?

  1. ATo make the patient hungry after surgery
  2. BTo treat the surgical wound in advance
  3. CTo reduce anxiety
  4. DTo replace the general anaesthetic
4.Gemiddeld

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

  1. AThey may keep toxin in the bowel and risk toxic megacolon
  2. BThey cause serious liver failure in most patients who take them
  3. CThey make the stool sample test positive falsely
  4. DThey kill the normal bowel bacteria
5.Gemiddeld

Why are urinary catheters removed as early as possible after surgery?

  1. ABecause the catheter stops the bowel working
  2. BBecause patients cannot drink normally while a catheter is in place
  3. CTo reduce the risk of catheter-associated infection
  4. DBecause catheters always cause kidney stones
6.Gemiddeld

Why are many patients screened for MRSA before planned surgery?

  1. ASo that surgery can be cancelled for all positive patients
  2. BTo decide which anaesthetic drug to use
  3. CTo check whether the patient has had a flu vaccine
  4. DSo that carriers can be decolonised to reduce infection
7.Moeilijk

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

  1. AAnal fissure
  2. BCrohn's disease of the ileum
  3. CUpper GI bleeding
  4. DColorectal cancer
8.Moeilijk

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

  1. ALow blood calcium from the surgery
  2. BAn allergy to the wound dressing
  3. CA haematoma pressing on the airway
  4. DNormal swelling after neck surgery

Antwoordenblad

  1. 1. D · Blood that has been partly digested by stomach acid
  2. 2. B · Step up from non-opioids to weak, then strong, opioids as needed
  3. 3. C · To reduce anxiety
  4. 4. A · They may keep toxin in the bowel and risk toxic megacolon
  5. 5. C · To reduce the risk of catheter-associated infection
  6. 6. D · So that carriers can be decolonised to reduce infection
  7. 7. A · Anal fissure
  8. 8. C · A haematoma pressing on the airway

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