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

Gratis printbaar werkblad Medisch-chirurgisch: neurologie, endocrinologie en nieren: 8 opgaven van makkelijk tot tentamenniveau, met antwoordenblad. Print het of sla het op als pdf.

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Naam: ____________________   Datum: ____________

1.Makkelijk

Why are patients with a spinal cord injury at very high risk of pressure injuries?

  1. ATheir blood sugar is always very high, which damages the skin
  2. BThey usually have a high fever for many weeks
  3. CTheir skin is thinner than other people's skin
  4. DThey cannot feel or move the body below the injury
2.Makkelijk

Which symptoms in a patient with back pain suggest cauda equina syndrome?

  1. AMild stiffness in the morning that soon wears off
  2. BPain that is worse after a long day at work
  3. CNumbness between the legs and new bladder problems
  4. DBack pain that eases when walking around the house
3.Makkelijk

Which hormone do the alpha cells of the pancreatic islets make?

  1. AInsulin
  2. BSomatostatin
  3. CGlucagon
  4. DAmylase
4.Gemiddeld

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

  1. AMedication overuse headache
  2. BNormal progress of migraine
  3. CA brain tumour, which is almost certain
  4. DAn allergy to the painkillers
5.Gemiddeld

Several hours after a carotid endarterectomy, which finding needs the most urgent action?

  1. AAn expanding neck swelling with noisy breathing
  2. BA small amount of dried blood on the dressing
  3. CMild pain at the incision site
  4. DA blood pressure slightly above the baseline
6.Gemiddeld

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

  1. AGiving a dose of ibuprofen before the scan
  2. BDoubling the dose of contrast for a clearer image
  3. CGood hydration around the scan, often with IV fluids
  4. DRestricting all fluids for 24 hours before the scan
7.Moeilijk

A patient with a subarachnoid haemorrhage develops a low sodium. Why is fluid restriction usually avoided in this patient?

  1. AFluid restriction raises the risk of seizures
  2. BLow sodium in this condition always corrects itself
  3. CFluid restriction would cause the aneurysm to re-bleed
  4. DLow blood volume can worsen vasospasm and brain ischaemia
8.Moeilijk

The nurse has four patients with diabetes. Which one needs to be seen first?

  1. AA patient waiting for a routine HbA1c test
  2. BA newly diagnosed patient asking about which foods to eat
  3. CA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
  4. DA patient with a glucose of 2,8 mmol/L (50 mg/dL) who is sweaty and confused

Antwoordenblad

  1. 1. D · They cannot feel or move the body below the injury
  2. 2. C · Numbness between the legs and new bladder problems
  3. 3. C · Glucagon
  4. 4. A · Medication overuse headache
  5. 5. A · An expanding neck swelling with noisy breathing
  6. 6. C · Good hydration around the scan, often with IV fluids
  7. 7. D · Low blood volume can worsen vasospasm and brain ischaemia
  8. 8. D · A patient with a glucose of 2,8 mmol/L (50 mg/dL) who is sweaty and confused

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