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

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Naam: ____________________   Datum: ____________

1.Makkelijk

What is adjuvant chemotherapy?

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

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

  1. AAbout 50 mL/kg per hour
  2. BAbout 0,05 mL/kg per hour
  3. CAbout 5 mL/kg per hour
  4. DAbout 0,5 mL/kg per hour
3.Makkelijk

What is atelectasis?

  1. AA blood clot in a leg vein
  2. BCollapse of small air sacs in part of the lung
  3. CSwelling of both ankles caused by lying in bed after surgery
  4. DInfection of the surgical wound
4.Gemiddeld

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

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

How is an uncomplicated sigmoid volvulus often first treated?

  1. ADecompression with a flexible sigmoidoscope and flatus tube
  2. BEating a large high-fibre meal
  3. CHigh-dose laxatives taken by mouth
  4. DA barium meal given by mouth to untwist the bowel slowly
6.Gemiddeld

Which burn should usually be discussed with a specialist burns service even if it is small?

  1. AA partial-thickness burn on the hand
  2. BA tiny burn on the forearm with redness only
  3. CA healed burn scar from many years ago
  4. DA small superficial sunburn on the back
7.Moeilijk

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

  1. AEncourage fasting to reduce wound exudate and the size of the dressing
  2. BRestrict protein to help the kidneys
  3. CRepeat the score in three months' time
  4. DRefer to the dietitian, start a nutrition plan and monitor intake
8.Moeilijk

A patient arrives in recovery with a temperature of 35,2 °C and is shivering. What is the most appropriate action?

  1. ASend the patient to the ward to warm up there under extra blankets
  2. BGive cold IV fluids to settle the shivering
  3. CRemove all blankets to let the body adjust
  4. DStart active warming and monitor the temperature

Antwoordenblad

  1. 1. A · Treatment after surgery to reduce the risk of recurrence
  2. 2. D · About 0,5 mL/kg per hour
  3. 3. B · Collapse of small air sacs in part of the lung
  4. 4. A · To reduce the risk of catheter-associated infection
  5. 5. A · Decompression with a flexible sigmoidoscope and flatus tube
  6. 6. A · A partial-thickness burn on the hand
  7. 7. D · Refer to the dietitian, start a nutrition plan and monitor intake
  8. 8. D · Start active warming and monitor the temperature

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