Werkblad Medisch-chirurgisch: neurologie, endocrinologie en nieren met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which equipment should be ready at the bedside of a patient on seizure precautions?

  1. AWorking suction and oxygen
  2. BA tongue depressor to place between the teeth
  3. CA urinary catheter in case of incontinence
  4. DWrist restraints to stop the limbs jerking
2.Makkelijk

What is acromegaly?

  1. AToo much cortisol from the adrenal glands
  2. BToo little thyroid hormone in an adult
  3. CToo little growth hormone in a child
  4. DToo much growth hormone in an adult
3.Makkelijk

Which is a common effect of long-term corticosteroid treatment?

  1. ALow blood glucose
  2. BThinning of the bones
  3. CWeight loss and a slim face
  4. DA lower risk of infections
4.Gemiddeld

Why are tacrolimus blood levels checked regularly?

  1. AToo high harms the kidney; too low risks rejection
  2. BThe levels show how much urine the kidney is making
  3. CThe levels show whether the patient has diabetes
  4. DThe drug only works if levels are as high as possible
5.Gemiddeld

How do DPP-4 inhibitors such as sitagliptin work?

  1. AThey block glucose reabsorption in the kidney
  2. BThey replace insulin that the pancreas cannot make
  3. CThey stop the gut from absorbing fat
  4. DThey prolong the action of gut incretin hormones
6.Gemiddeld

Why can a patient with an insulin pump develop DKA within hours if the pump stops working?

  1. AThe battery in the pump releases chemicals into the blood
  2. BThe body becomes allergic to insulin when the pump stops
  3. CThe pump gives long-acting insulin, which builds up and stops working all at once
  4. DThe pump gives only rapid-acting insulin, so there is no long-acting reserve
7.Moeilijk

On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?

  1. ADelayed cerebral ischaemia from vasospasm
  2. BRe-bleeding from the secured aneurysm
  3. CHypoglycaemia from reduced eating
  4. DNormal tiredness after major surgery
8.Moeilijk

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

  1. AOral amoxicillin
  2. BIV aciclovir
  3. COral prednisolone
  4. DIV insulin

Antwoordenblad

  1. 1. A · Working suction and oxygen
  2. 2. D · Too much growth hormone in an adult
  3. 3. B · Thinning of the bones
  4. 4. A · Too high harms the kidney; too low risks rejection
  5. 5. D · They prolong the action of gut incretin hormones
  6. 6. D · The pump gives only rapid-acting insulin, so there is no long-acting reserve
  7. 7. A · Delayed cerebral ischaemia from vasospasm
  8. 8. B · IV aciclovir

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