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

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Naam: ____________________   Datum: ____________

1.Makkelijk

What is a common reason for giving a premedication before surgery?

  1. ATo replace the general anaesthetic
  2. BTo treat the surgical wound in advance
  3. CTo make the patient hungry after surgery
  4. DTo reduce anxiety
2.Makkelijk

What is adjuvant chemotherapy?

  1. ATreatment given before a biopsy is taken
  2. BTreatment after surgery to reduce the risk of recurrence
  3. CTreatment given only to patients who refuse surgery or radiotherapy
  4. DTreatment given only to relieve symptoms
3.Makkelijk

Using the rule of nines in an adult, what percentage is the whole head and neck?

  1. A9%
  2. B1%
  3. C18%
  4. D4,5%
4.Gemiddeld

Why are urinary catheters removed as early as possible after surgery?

  1. ABecause catheters always cause kidney stones
  2. BTo reduce the risk of catheter-associated infection
  3. CBecause the catheter stops the bowel working
  4. DBecause patients cannot drink normally while a catheter is in place
5.Gemiddeld

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

  1. ASwap to aspirin on the morning of surgery
  2. BDouble the dose for a week so the blood is ready for surgery
  3. CStop it about 5 days before and check the INR
  4. DTake the usual dose on the morning of surgery
6.Gemiddeld

Which intervention most reduces pressure ulcer risk in an immobile patient?

  1. AUsing a doughnut-shaped ring cushion
  2. BRegular repositioning and a pressure-redistributing mattress
  3. CKeeping the head of the bed raised at 90° all day
  4. DMassaging red areas firmly at each turn to bring back the circulation
7.Moeilijk

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

  1. AA flare of ulcerative colitis
  2. BFaecal impaction with overflow
  3. CNormal stool pattern on opioids
  4. DAcute infective gastroenteritis
8.Moeilijk

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

  1. ARefer to the dietitian, start a nutrition plan and monitor intake
  2. BEncourage fasting to reduce wound exudate and the size of the dressing
  3. CRestrict protein to help the kidneys
  4. DRepeat the score in three months' time

Antwoordenblad

  1. 1. D · To reduce anxiety
  2. 2. B · Treatment after surgery to reduce the risk of recurrence
  3. 3. A · 9%
  4. 4. B · To reduce the risk of catheter-associated infection
  5. 5. C · Stop it about 5 days before and check the INR
  6. 6. B · Regular repositioning and a pressure-redistributing mattress
  7. 7. B · Faecal impaction with overflow
  8. 8. A · Refer to the dietitian, start a nutrition plan and monitor intake

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