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

In TNM staging of cancer, what does "N" describe?

1. AThe new cells formed after treatment
2. BThe nerve damage caused by the tumour
3. CSpread to nearby lymph nodes
4. DThe number of tumours in the body

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. ANo, they are not radioactive and can be with family
2. BYes, so they must avoid all contact with children and pregnant women
3. COnly their clothes are radioactive afterwards
4. DYes, for one month after each session

What is pulmonary aspiration?

1. ARemoving fluid from the chest with a needle through the ribs
2. BBreathing too fast after surgery
3. CInhaling stomach contents or other material into the lungs
4. DA collapsed lung after a chest drain

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ADisease that is cured by removing the colon
2. BInflammation limited to the rectal lining
3. CFistulas between the bowel and other organs
4. DBleeding only from the rectum

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. AOn the left side, to drain the liver
2. BProne, with the head lower than the feet
3. COn the right side, to press on the puncture site
4. DSitting upright, with the legs over the edge of the bed

Waarom is het belangrijk wanneer een patiënt die opioïden gebruikt slaperiger wordt?

1. ASedatie betekent dat nu een hogere dosis nodig is
2. BSedatie is een onschuldig en te verwachten effect van alle opioïden
3. CSedatie betekent dat de pijn nu volledig en veilig onder controle is
4. DToenemende sedatie gaat meestal vooraf aan ademhalingsdepressie

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

1. AReport it, keep it clean and use a non-adherent dressing
2. BUse a heat pad to speed healing
3. CApply adhesive tape directly over the area to protect it from clothing
4. DScrub the area with soap to prevent infection

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA high spinal block
2. BAn anxiety attack
3. CA post-dural puncture headache
4. DA normal spinal effect