Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the purpose of anti-embolism stockings for surgical patients?
ATo reduce the risk of deep vein thrombosis
BTo keep the legs warm in theatre
CTo lower the blood pressure after surgery
DTo prevent pressure ulcers on the heels
2.Makkelijk
What is dumping syndrome after gastric surgery?
ALeakage of bile from the liver into the abdominal cavity
BReflux of bowel contents back into the oesophagus
CSlow emptying of the stomach causing food to stay for days
DRapid passage of food from the stomach into the small bowel
3.Makkelijk
Which finding is typical of a perforated peptic ulcer?
ASudden severe abdominal pain with a rigid, board-like abdomen
BSlow onset of mild pain relieved fully by eating
CPainless bright red bleeding from the rectum over several days
DA soft, non-tender abdomen with loud, frequent bowel sounds
4.Gemiddeld
How is the height of an epidural sensory block usually checked?
AChecking the colour of the patient's urine
BMeasuring the patient's blood glucose level
CTapping the knee with a reflex hammer and recording the score
DTesting sensation to cold with ice or a cold spray
5.Gemiddeld
Welk gebied wordt gebruikt als snelle schatting van 1% van het lichaamsoppervlak bij kleine of verspreide brandwonden?
ADe handpalm van de onderzoeker inclusief de vingers
BDe hand en onderarm van de patiënt
CDe duimnagel van de patiënt
DDe handpalm van de patiënt inclusief de vingers
6.Gemiddeld
Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?
APermanent high blood glucose
BDamage to the heart muscle
CExcess growth of body hair
DLoss of the sense of smell
7.Moeilijk
A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?
AA fistula between the colon and the bladder
BA simple lower urinary tract infection
CA kidney stone blocking the ureter
DBowel preparation that was taken too quickly
8.Moeilijk
Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?
AIt raises the risk of ketoacidosis, even with near-normal glucose
BIt interacts with all general anaesthetic gases and stops them working
CIt causes the surgical wound to bleed more
DIt makes the patient's potassium dangerously high
Antwoordenblad
1. A · To reduce the risk of deep vein thrombosis
2. D · Rapid passage of food from the stomach into the small bowel
3. A · Sudden severe abdominal pain with a rigid, board-like abdomen
4. D · Testing sensation to cold with ice or a cold spray
5. D · De handpalm van de patiënt inclusief de vingers
6. B · Damage to the heart muscle
7. A · A fistula between the colon and the bladder
8. A · It raises the risk of ketoacidosis, even with near-normal glucose
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