Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Which finding describes a category 1 pressure ulcer?
AIntact skin with redness that does not blanch
BA shallow open wound with a red-pink base and no slough
CAn open wound with visible bone at the base
DA wound covered with thick black eschar
2.Makkelijk
What is the main purpose of a biopsy when cancer is suspected?
ATo measure the patient's blood count
BTo confirm the diagnosis by examining tissue
CTo remove all the cancer at once
DTo give chemotherapy directly into the tumour
3.Makkelijk
How is hepatitis B mainly spread?
AThrough touching door handles and shaking hands
BOnly by coughing and sneezing
CThrough blood, sexual contact and from mother to baby
DOnly by eating undercooked shellfish from polluted water
4.Gemiddeld
Welke score wordt gebruikt om het risico bij een bloeding in het bovenste maag-darmkanaal vóór endoscopie te beoordelen?
AWaterlow-score voor het risico op decubitus
BGlasgow Coma Scale
CGlasgow-Blatchford-score
DWells-score voor DVT
5.Gemiddeld
Which intervention most reduces pressure ulcer risk in an immobile patient?
AKeeping the head of the bed raised at 90° all day
BUsing a doughnut-shaped ring cushion
CRegular repositioning and a pressure-redistributing mattress
DMassaging red areas firmly at each turn to bring back the circulation
6.Gemiddeld
Which treatment often relieves pain from a bone metastasis?
APalliative radiotherapy to the area
BIron supplements by mouth for several months
CComplete bed rest for a month
DA diet low in calcium and vitamin D
7.Moeilijk
On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?
ANormal adjustment to the new feed
BAn allergy to the feed formula
CRefeeding syndrome
DToo little calorie intake
8.Moeilijk
An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?
AAn arterial ulcer caused by poor circulation
BA full-thickness burn
CIncontinence-associated dermatitis
DA category 4 pressure ulcer over the sacrum
Antwoordenblad
1. A · Intact skin with redness that does not blanch
2. B · To confirm the diagnosis by examining tissue
3. C · Through blood, sexual contact and from mother to baby
4. C · Glasgow-Blatchford-score
5. C · Regular repositioning and a pressure-redistributing mattress
6. A · Palliative radiotherapy to the area
7. C · Refeeding syndrome
8. C · Incontinence-associated dermatitis
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