1.ง่าย
Which vaccine is offered every year to healthcare workers to protect patients and staff?
- ARabies vaccine
- BInfluenza vaccine
- CYellow fever vaccine
- DTyphoid vaccine
2.ง่าย
Which type of diabetes is mainly caused by autoimmune destruction of the insulin-producing beta cells?
- AGestational diabetes
- BDiabetes insipidus
- CType 1 diabetes
- DType 2 diabetes
3.ง่าย
Stridor, a harsh noise heard mainly on breathing in, is a sign of:
- AFluid collecting in the bases of both lungs
- BMild constipation
- CNormal breathing during sleep
- DNarrowing or obstruction of the upper airway
4.ปานกลาง
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AThe stent will dissolve if the drugs are stopped before the course ends
- BStopping causes severe low blood pressure
- CStopping causes immediate kidney failure
- DStopping early greatly increases the risk of a clot forming in the stent
5.ปานกลาง
A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?
- AConfront the relative directly at the bedside about it
- BKeep it secret because it is a family matter
- CRaise the concern through the local safeguarding (adult protection) procedure
- DWait until the patient has been discharged
6.ปานกลาง
Why is an urgent brain scan needed before thrombolysis for a suspected stroke?
- ATo check for brain tumours only
- BTo rule out bleeding in the brain
- CTo confirm the patient's age
- DTo measure the size of the ventricles
7.ยาก
In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?
- AIrregular breathing pauses
- BA fixed, dilated pupil on both sides
- CA slow pulse with high blood pressure
- DA change in level of consciousness
8.ยาก
ชุดของผลตรวจใดแยกภาวะช็อกจากหัวใจ (cardiogenic shock) ออกจากภาวะช็อกจากการขาดปริมาตรเลือด (hypovolaemic shock) ได้ดีที่สุด?
- Aหัวใจเต้นเร็ว ความดันโลหิตต่ำ และชีพจรส่วนปลายเบาเป็นเส้นด้าย
- Bความดันหลอดเลือดดำที่คอสูงและเสียงกรอบแกรบในปอด
- Cปัสสาวะออกน้อยลง
- Dผิวเย็นและซีด
เฉลย
- 1. B · Influenza vaccine
- 2. C · Type 1 diabetes
- 3. D · Narrowing or obstruction of the upper airway
- 4. D · Stopping early greatly increases the risk of a clot forming in the stent
- 5. C · Raise the concern through the local safeguarding (adult protection) procedure
- 6. B · To rule out bleeding in the brain
- 7. D · A change in level of consciousness
- 8. B · ความดันหลอดเลือดดำที่คอสูงและเสียงกรอบแกรบในปอด
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