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
What is the normal range for total serum calcium in an adult?
AAbout 2,2–2,6 mmol/L (8,5–10,5 mg/dL)
BAbout 3,5–5,0 mmol/L (14–20 mg/dL)
CAbout 0,7–1,0 mmol/L (2,8–4,0 mg/dL)
DAbout 1,0–1,5 mmol/L (4,0–6,0 mg/dL)
2.Makkelijk
Which is the most important modifiable risk factor for stroke?
AOlder age
BMale sex
CFamily history of stroke
DHigh blood pressure
3.Makkelijk
How is diabetic retinopathy usually picked up early?
AA yearly blood test for HbA1c only
BChecking the pupils with a torch at every visit
CWaiting until the patient notices blurred vision
DRegular eye screening with retinal photographs
4.Gemiddeld
A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?
AThrough the nose with a guidewire
BThrough the nose (nasogastric)
CThrough the mouth (orogastric)
DThrough a fine-bore nasal tube
5.Gemiddeld
An older patient with a long-term catheter has bacteria in the urine but no symptoms. What is usually appropriate?
ARemove the catheter permanently at once
BA full course of antibiotics straight away
CAntibiotics for life to keep the urine sterile
DNo antibiotics, as long as there are no symptoms
6.Gemiddeld
A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?
AThere are no precautions, because the dose is tiny
BLimit close contact with children and pregnant women for a time
CStay in strict isolation in hospital for several months
DStart breastfeeding again the next day
7.Moeilijk
A patient in thyroid storm has a temperature of 40 °C (104 °F). Which measure for the fever is usually avoided?
AAspirin
BCooling blankets
CFanning with cool air
DParacetamol (acetaminophen)
8.Moeilijk
A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?
AThe patient is secretly eating sweets between meals
BFood is absorbed slowly, so the insulin peaks before the glucose rises
CThe insulin has gone off and needs replacing
DThe meter gives false results for several hours after every meal
Antwoordenblad
1. A · About 2,2–2,6 mmol/L (8,5–10,5 mg/dL)
2. D · High blood pressure
3. D · Regular eye screening with retinal photographs
4. C · Through the mouth (orogastric)
5. D · No antibiotics, as long as there are no symptoms
6. B · Limit close contact with children and pregnant women for a time
7. A · Aspirin
8. B · Food is absorbed slowly, so the insulin peaks before the glucose rises
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