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

Which cranial nerve makes the pupil constrict in response to light?

1. AOptic nerve (II) alone
2. BOculomotor nerve (III)
3. CTrochlear nerve (IV)
4. DAbducens nerve (VI)

Wat is de belangrijkste laboratoriumbevinding bij SIADH (syndroom van inadequate ADH-secretie)?

1. AHoog serumnatrium door waterverlies
2. BLaag serumnatrium door waterretentie
3. CHoge bloedglucose door insulineresistentie
4. DLaag serumcalcium door verlies via de nieren

What is the most common cause of intrinsic (renal) acute kidney injury in hospital?

1. AKidney stones
2. BAcute tubular necrosis
3. CPolycystic kidney disease
4. DAn enlarged prostate

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. AThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
2. BPhenytoin must be crushed and mixed into the feed bag
3. CThe feed increases phenytoin levels and causes toxicity within hours
4. DPhenytoin makes the feed curdle, so the two must never be used in one patient

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. AAvoid checking glucose until the ride is over
2. BSkip breakfast so the exercise burns body fat
3. CCheck glucose before and after, and carry fast-acting carbohydrate
4. DTake an extra dose of rapid-acting insulin before setting off

Een patiënt met primaire bijnierinsufficiëntie heeft koorts. Wat is het gebruikelijke ziektedagenadvies voor steroïdsuppletie?

1. ADe dosis halveren om de bijwerkingen te verminderen
2. BDe gebruikelijke dosis aanhouden en voorlopig geen extra vocht drinken
3. CDe steroïd stoppen tot de koorts is verdwenen
4. DDe glucocorticoïddosis verhogen, vaak verdubbelen

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

1. AA patient with stress incontinence asking about pelvic floor exercises
2. BA patient with a suprapubic catheter due for a routine change
3. CA patient after TURP with light pink drainage and mild discomfort
4. DA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg

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. AHypoglycaemia from reduced eating
2. BDelayed cerebral ischaemia from vasospasm
3. CNormal tiredness after major surgery
4. DRe-bleeding from the secured aneurysm