Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is Barrett's oesophagus?
AA pouch in the upper oesophagus that traps food
BA tear in the oesophagus caused by forceful vomiting
CDilated veins in the lower oesophagus caused by portal hypertension
DA change of the lower oesophageal lining to a stomach-like type
2.Makkelijk
What is diverticulosis?
ASmall pouches in the wall of the colon
BA twist of the sigmoid colon on itself
CInflammation of the whole small bowel wall
DA tumour growing inside the rectum
3.Makkelijk
What is adjuvant chemotherapy?
ATreatment after surgery to reduce the risk of recurrence
BTreatment given only to relieve symptoms
CTreatment given only to patients who refuse surgery or radiotherapy
DTreatment given before a biopsy is taken
4.Gemiddeld
Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?
ARegular gentle walking
BConstipation
CA high fluid intake
DA low-salt diet
5.Gemiddeld
A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?
AAsk the patient to sign quickly before they get sleepier
BSign the form on the patient's behalf as a witness
CTell the surgeon, as the patient may not be able to consent now
DAsk a relative to sign instead of the patient
6.Gemiddeld
Welk elektrolytenpatroon is typisch voor het tumorlysissyndroom?
AHoog kalium, fosfaat en urinezuur; laag calcium
BHoog natrium en hoog calcium met een laag urinezuur
CLaag kalium, laag fosfaat en laag urinezuur
DLaag kalium en fosfaat met hoog calcium
7.Moeilijk
A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?
AGive a large drink to wash the food through
BAsk the patient to try to vomit to empty the stomach
CSay nothing, since toast is a light food
DInform the anaesthetist, as surgery may be delayed
8.Moeilijk
An 80-year-old has a fluid balance 3 L positive two days after surgery. They are now breathless, with crackles at both lung bases and swollen ankles. What should the nurse do?
AEncourage the patient to drink more fluids
BStop the IV fluids, sit the patient up and escalate
CLie the patient flat with the legs raised
DIncrease the IV fluid rate to improve kidney flow
Antwoordenblad
1. D · A change of the lower oesophageal lining to a stomach-like type
2. A · Small pouches in the wall of the colon
3. A · Treatment after surgery to reduce the risk of recurrence
4. B · Constipation
5. C · Tell the surgeon, as the patient may not be able to consent now
6. A · Hoog kalium, fosfaat en urinezuur; laag calcium
7. D · Inform the anaesthetist, as surgery may be delayed
8. B · Stop the IV fluids, sit the patient up and escalate
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