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
Which features suggest pyelonephritis rather than simple cystitis?
AFever, rigors and pain in the loin
BPassing urine more often at night only
CUrine that smells slightly stronger
DMild burning on passing urine only
2.Makkelijk
Which hourly urine output is usually taken as the minimum acceptable for an adult?
AAbout 0,5 mL/kg per hour
BAbout 5 mL/kg per hour
CAbout 0,05 mL/kg per hour
DAbout 10 mL/kg per hour
3.Makkelijk
What is Trousseau's sign?
ATwitching of the face when the cheek is tapped
BBruising around the eyes after a head injury
CPain in the calf when the foot is bent upwards
DHand spasm when a BP cuff is inflated on the arm
4.Gemiddeld
Why is IV calcium gluconate given in severe hyperkalaemia?
AIt removes potassium through the kidneys
BIt protects the heart from arrhythmias
CIt binds potassium in the gut
DIt moves potassium into the cells
5.Gemiddeld
A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?
AThey should take very cold baths to reverse the damage
BThis shows that the disease has entered a new progressive stage
CHot baths cause new areas of damage in the brain
DHeat can briefly worsen MS symptoms, which settle when they cool down
6.Gemiddeld
A urine dipstick is positive for nitrites. What does this suggest?
AThe urine has a lot of glucose in it
BBacteria that convert nitrate are present
CThe patient is dehydrated and needs more fluid
DThe kidneys are losing too much protein
7.Moeilijk
The nurse has four patients with diabetes. Which one needs to be seen first?
AA patient waiting for a routine HbA1c test
BA patient with a glucose of 2,8 mmol/L (50 mg/dL) who is sweaty and confused
CA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
DA newly diagnosed patient asking about which foods to eat
8.Moeilijk
A patient with AKI has a low urine sodium and concentrated urine. What does this suggest?
AA post-renal blockage, with urine backed up
BDiabetes insipidus, with too little ADH
CAcute tubular necrosis, with damaged and leaking tubules
DA pre-renal cause, with kidneys holding salt and water
Antwoordenblad
1. A · Fever, rigors and pain in the loin
2. A · About 0,5 mL/kg per hour
3. D · Hand spasm when a BP cuff is inflated on the arm
4. B · It protects the heart from arrhythmias
5. D · Heat can briefly worsen MS symptoms, which settle when they cool down
6. B · Bacteria that convert nitrate are present
7. B · A patient with a glucose of 2,8 mmol/L (50 mg/dL) who is sweaty and confused
8. D · A pre-renal cause, with kidneys holding salt and water
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