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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Welk percentage van het lichaamsoppervlak is volgens de regel van negen bij een volwassene één hele arm?

  1. A36%
  2. B1%
  3. C9%
  4. D18%
2.Makkelijk

Which lifestyle advice helps reduce night-time reflux symptoms?

  1. ANo food for 3 hours before bed, with the head of the bed raised
  2. BDrink a large glass of fizzy water before lying down
  3. CSleep flat on several pillows placed under the knees
  4. DHave the largest meal of the day just before going to bed to aid sleep
3.Makkelijk

What is adjuvant chemotherapy?

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

Which statement about giving medicines through a feeding tube is correct?

  1. ATubes do not need flushing between medicines
  2. BModified-release tablets should not be crushed
  3. CAll tablets can be crushed together and given at once
  4. DMedicines can be added to the bag of feed
5.Gemiddeld

Why should antacids usually be taken at a different time from other medicines?

  1. AThey destroy other drugs before they are swallowed
  2. BThey stop the kidneys from clearing other drugs
  3. CThey make all other drugs much more toxic
  4. DThey can reduce the absorption of many other drugs
6.Gemiddeld

Why are antiemetics usually given before chemotherapy starts?

  1. AThey stop the chemotherapy from causing hair loss and mouth sores
  2. BAntiemetics make the chemotherapy work better
  3. CThey cannot be given once nausea has started
  4. DPreventing nausea works better than treating it later
7.Moeilijk

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

  1. AFree air under the diaphragm on an erect chest X-ray
  2. BFluid levels in the bladder on an ultrasound scan
  3. CTall, peaked T waves on a 12-lead ECG
  4. DA raised serum lipase three times the upper limit
8.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. ANormal stool pattern on opioids
  2. BAcute infective gastroenteritis
  3. CFaecal impaction with overflow
  4. DA flare of ulcerative colitis

Antwoordenblad

  1. 1. C · 9%
  2. 2. A · No food for 3 hours before bed, with the head of the bed raised
  3. 3. C · Treatment after surgery to reduce the risk of recurrence
  4. 4. B · Modified-release tablets should not be crushed
  5. 5. D · They can reduce the absorption of many other drugs
  6. 6. D · Preventing nausea works better than treating it later
  7. 7. A · Free air under the diaphragm on an erect chest X-ray
  8. 8. C · Faecal impaction with overflow

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