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

What is referred pain?

1. APain that is passed on from one doctor to another
2. BPain that a patient makes up
3. CPain that only lasts for a few seconds
4. DPain felt at a site away from the organ causing it

What is dumping syndrome after gastric surgery?

1. ALeakage of bile from the liver into the abdominal cavity
2. BRapid passage of food from the stomach into the small bowel
3. CSlow emptying of the stomach causing food to stay for days
4. DReflux of bowel contents back into the oesophagus

When should pain be reassessed after giving analgesia?

1. AOnly if the patient asks for more analgesia
2. BWhen the drug is expected to have taken effect
3. CNever, as one assessment is enough
4. DOnly at the next routine observation round the next day

Which neutrophil count indicates severe neutropenia?

1. AAbove 10 × 10⁹/L
2. BBelow 0,5 × 10⁹/L
3. CBelow 7,5 × 10⁹/L
4. DAbove 2,0 × 10⁹/L

Which lifestyle change most improves the course of Crohn's disease?

1. AEating more red meat
2. BDrinking more coffee
3. CAvoiding all exercise
4. DStopping smoking

What does "neoadjuvant" treatment mean?

1. ATreatment that is given instead of any surgery
2. BTreatment before the main treatment, often to shrink the tumour
3. CTreatment given only for pain relief
4. DTreatment that is given only after the cancer has already spread

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. ASerum amylase level
2. BPeak expiratory flow
3. CAbdominal girth
4. DCapillary blood glucose

A patient taking oral capecitabine reports red, painful, peeling palms and soles. What should the nurse do?

1. AReassure that it is a sign of an unrelated allergy to washing powder
2. BReport it; this is hand-foot syndrome and treatment may need changing
3. CTell the patient to take a double dose next time
4. DAdvise hot soaks for the hands and feet