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

Where is biliary colic typically felt?

1. AIn the lower back, after lifting something heavy
2. BIn the groin, after standing for a long time
3. CIn the left lower abdomen, after passing stool
4. DIn the right upper abdomen, often after a fatty meal

What is diverticulosis?

1. AInflammation of the whole small bowel wall
2. BA twist of the sigmoid colon on itself
3. CA tumour growing inside the rectum
4. DSmall pouches in the wall of the colon

Why are pressure garments worn after burns heal?

1. ATo prevent infection of the healed skin
2. BTo keep the patient warm in winter
3. CTo reduce raised, thick scarring
4. DTo hide the scars from other people

Which practice is correct when giving parenteral nutrition through a central line?

1. ALet the bag hang at room temperature for several days
2. BUse a dedicated lumen and strict aseptic technique
3. CGive other IV drugs through the same lumen to save time
4. DDisconnect and reconnect the line without cleaning the hub

Welke score wordt gebruikt om het risico bij een bloeding in het bovenste maag-darmkanaal vóór endoscopie te beoordelen?

1. AWaterlow-score voor het risico op decubitus
2. BWells-score voor DVT
3. CGlasgow Coma Scale
4. DGlasgow-Blatchford-score

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt always causes severe diarrhoea
2. BIt increases gut movement against the blockage
3. CIt blocks the effect of all opioids
4. DIt makes the bowel stop moving completely

Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?

1. AGive the next medicines through the tube as usual
2. BContinue feeding and apply a thicker dressing
3. CIncrease the feed rate to improve nutrition
4. DStop the feed at once and seek urgent medical advice

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AReport it, as the regular background dose may need review
2. BGive all breakthrough doses at the same time
3. CStop the breakthrough doses to reduce opioid use
4. DTell the patient to put up with the pain between doses