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

What is atelectasis?

1. AInfection of the surgical wound
2. BA blood clot in a leg vein
3. CCollapse of small air sacs in part of the lung
4. DSwelling of both ankles caused by lying in bed after surgery

Which two sites are most common for pressure ulcers in patients lying in bed?

1. AThe thighs and the upper arms
2. BThe forearms and the knees
3. CThe palms and the forehead
4. DThe sacrum and the heels

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo remove the whole colon permanently in a single operation
2. BTo divert stool while the join further down heals
3. CTo let the patient eat without chewing
4. DTo drain urine from the kidneys

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

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

How is the height of an epidural sensory block usually checked?

1. ATesting sensation to cold with ice or a cold spray
2. BChecking the colour of the patient's urine
3. CMeasuring the patient's blood glucose level
4. DTapping the knee with a reflex hammer and recording the score

Why is IV albumin often given after a large-volume paracentesis?

1. ATo replace the clotting factors and platelets lost in the drained fluid
2. BTo treat infection in the ascitic fluid
3. CTo prevent low blood pressure and kidney injury from fluid shifts
4. DTo raise the blood glucose after the procedure

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has a temperature of 38,9 °C, a rigid abdomen and a pulse of 118/min. What does this suggest?

1. AA side effect of the analgesia given
2. BSimple constipation that needs a laxative
3. CPerforation with peritonitis
4. DThe appendicitis has settled by itself

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

1. A500 mL/h
2. B250 mL/h
3. C1000 mL/h
4. D375 mL/h