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

What is an ERCP?

1. AAn open operation to remove the gallbladder
2. BA blood test that measures pancreatic enzymes
3. CA CT scan of the abdomen without contrast
4. DAn endoscopic test to view and treat the bile and pancreatic ducts

Welke bijwerking van opioïden neemt bij voortgezet gebruik meestal niet af?

1. ASedatie
2. BJeuk
3. CMisselijkheid en braken
4. DObstipatie

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

1. AUp to 2 hours before
2. BUp to 12 hours before
3. CUp to 10 minutes before
4. DUp to 24 hours before

A nasogastric feeding tube appears blocked. What is usually the first step?

1. AFlush gently with warm water in a 50 mL enteral syringe
2. BPush the guidewire back in to clear it
3. CCut the end of the tube to release the blockage inside it
4. DUse a small 5 mL syringe with firm pressure

Which early symptoms suggest local anaesthetic systemic toxicity?

1. ATingling around the mouth, a metallic taste and tinnitus
2. BIncreased hunger and thirst over several hours, with a dry mouth
3. CMild itching of the feet the next day
4. DA red rash only at the injection site, with no other symptoms

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. ALong inflation can cause nerve and muscle damage
2. BThe tourniquet slowly loses all its air after one minute
3. CIt shows how long the anaesthetic gas was used
4. DThe surgeon is paid per minute of use

A patient's long-standing groin hernia has become tender, red and irreducible, and they are vomiting. What should the nurse do?

1. AApply a hot water bottle and give a laxative
2. BKeep them nil by mouth and arrange urgent surgical review
3. CAdvise the patient to wear a tight truss and rest
4. DPush the hernia firmly back in, then discharge home

After several days of a tight CPAP mask, a patient has a red, broken area on the bridge of the nose. What is this, and what should the nurse do?

1. AAn allergic rash; stop the CPAP for good and give oral antihistamines
2. BA normal mark; take no action until it heals
3. CA device-related pressure injury; protect skin and refit the mask
4. DA burn from the oxygen; apply ice to the area