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

Which three principles reduce staff radiation exposure when caring for a patient with a sealed radiation source?

1. ASpeed, noise and lighting
2. BTime, distance and shielding
3. CHeat, light and humidity
4. DGloves, gown and mask

Which feature is typical of an arterial leg ulcer?

1. AA painful, punched-out wound on a cold, pale foot
2. BA painless wound on the shin with normal pulses
3. CA blister on the heel with plenty of hair growth
4. DA shallow, wet wound around the ankle with warm, swollen skin

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, for one month after each session
2. BYes, so they must avoid all contact with children and pregnant women
3. CNo, they are not radioactive and can be with family
4. DOnly their clothes are radioactive afterwards

Why are accurate fluid balance charts kept after major surgery?

1. ATo check how far the patient has walked and how often they get out of bed
2. BTo detect dehydration, fluid overload or kidney problems early
3. CTo decide which meal the patient will have next
4. DTo record when visitors come and go

After a spinal anaesthetic, which nursing check is particularly important?

1. AReturn of leg sensation and movement, and passing urine
2. BPupil reaction every five minutes for the next full day
3. CBlood glucose every 15 minutes overnight
4. DPeak flow before and after each meal

Which advice helps a person with diabetes prevent foot ulcers?

1. ACut corns off at home with a sharp blade
2. BSoak the feet in very hot water every evening
3. CWear tight shoes to support the ankles
4. DCheck the feet every day and never walk barefoot

Tijdens algehele narcose krijgt een patiënt kaakstijfheid, stijgend eind-expiratoir CO₂ en tachycardie, daarna een snel stijgende temperatuur. Welk geneesmiddel is de specifieke behandeling?

1. AParacetamol
2. BSuxamethonium
3. CNaloxon
4. DDantroleen

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. BA raised serum lipase three times the upper limit
3. CFluid levels in the bladder on an ultrasound scan
4. DTall, peaked T waves on a 12-lead ECG