Werkblad Medisch-chirurgisch: neurologie, endocrinologie en nieren met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Which substance do the kidneys release that helps raise blood pressure?
AThyroxine
BBile
CRenin
DInsulin
2.Makkelijk
Which organism causes most urinary tract infections?
AStreptococcus pneumoniae
BEscherichia coli
CCandida albicans
DStaphylococcus aureus
3.Makkelijk
Which isolation precautions are used for a patient with suspected meningococcal meningitis?
ADroplet precautions until about 24 hours of effective antibiotics
BNo extra precautions, because it is not infectious
CAirborne precautions in a negative pressure room for 2 weeks
DContact precautions only, with gloves for skin contact
4.Gemiddeld
A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?
ARub the eyes firmly each morning to reduce the swelling
BStay in bright sunlight to dry the eyes
CSmoking more will not affect the eyes
DUse lubricating drops and sleep with the head raised
5.Gemiddeld
What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?
ATo stop blood clots from blocking the catheter
BTo treat a urinary infection after the operation
CTo measure the size of the bladder
DTo give the patient extra fluids
6.Gemiddeld
Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?
AIt contains the patient's urine
BIt contains concentrated anticoagulant
CIt contains a strong antibiotic that must be kept
DIt contains air that keeps the line open
7.Moeilijk
A patient on a variable rate IV insulin infusion is nil by mouth. Why is a glucose-containing IV fluid usually given alongside it?
ATo stop the insulin sticking to the IV tubing
BTo speed up the action of the insulin in the muscles
CTo prevent hypoglycaemia while insulin is running
DTo replace the potassium lost from the cells
8.Moeilijk
A patient with an acute stroke has a glucose of 15 mmol/L (270 mg/dL). They do not have known diabetes. What is appropriate?
AIgnore it, because stress always raises glucose
BReport it and monitor glucose, as it can worsen outcome
CGive glucose gel to stabilise the level
DStop all IV fluids to lower the glucose
Antwoordenblad
1. C · Renin
2. B · Escherichia coli
3. A · Droplet precautions until about 24 hours of effective antibiotics
4. D · Use lubricating drops and sleep with the head raised
5. A · To stop blood clots from blocking the catheter
6. B · It contains concentrated anticoagulant
7. C · To prevent hypoglycaemia while insulin is running
8. B · Report it and monitor glucose, as it can worsen outcome
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