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

What is an escharotomy?

1. ARemoval of the whole limb after a deep, extensive burn
2. BA cut through burned, tight skin to relieve pressure
3. CPlacing a skin graft on a burn
4. DDraining a blister with a needle

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AOccasional wind and rumbling after eating a meal of beans
2. BA lasting change in bowel habit with rectal bleeding
3. COne episode of loose stools after a takeaway meal
4. DMild bloating before a period

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ASo pulse oximetry readings and nail colour can be assessed accurately
2. BBecause it is a checklist rule with no clinical reason
3. CBecause the varnish can make the anaesthetic gas less effective
4. DBecause varnish raises the patient's blood pressure

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AGas used during surgery irritating the diaphragm
2. BA heart attack during the operation
3. CAn allergy to the dressing on the wound
4. DA dislocated shoulder from patient positioning

How should pancreatic enzyme replacement capsules usually be taken?

1. AOnly on days with abdominal pain
2. BOnce a day at bedtime
3. CWith every meal and snack
4. DOne hour after meals, on an empty stomach

How are skin staples usually removed from a healed incision?

1. AOnly the staples at each end, leaving the others for good
2. BThe staples are left in permanently under the skin
3. CAlternate staples first, then the rest if the wound holds
4. DAll staples at once by pulling each one straight up from the skin

Een 74-jarige met chronische nierschade heeft ernstige pijn na een operatie. Welk opioïdprobleem is het belangrijkst?

1. AOpioïden mogen bij ouderen nooit worden gebruikt, ongeacht de pijn
2. BMorfine is het veiligste opioïd bij nierfalen, dus de doses kunnen vrij worden verhoogd
3. CMorfinemetabolieten stapelen zich op, dus een lagere dosis of een ander opioïd kan nodig zijn
4. DDe nierfunctie heeft geen invloed op hoe opioïden worden verwerkt

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

1. AAcute appendicitis
2. BPost-ERCP pancreatitis
3. CHepatitis B infection
4. DBiliary colic from a new stone