1.Dễ
What is the normal resting heart rate range for an adult?
- A100–140 beats per minute
- B40–60 beats per minute
- C60–100 beats per minute
- D30–50 beats per minute
2.Dễ
What is the immediate first aid after a needlestick injury?
- AScrub the wound hard with a brush
- BIgnore it if the needle looked clean
- CSuck the wound to remove the blood, then cover it with a plaster
- DWash the wound with soap and running water without scrubbing
3.Dễ
Why are patients having chemotherapy at increased risk of infection?
- AChemotherapy makes the skin thicker
- BChemotherapy raises the white cell count too high for it to work properly
- CChemotherapy stops the patient from sweating
- DChemotherapy suppresses the bone marrow and lowers the white cell count
4.Trung bình
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AStopping causes immediate kidney failure
- BStopping causes severe low blood pressure
- CThe stent will dissolve if the drugs are stopped before the course ends
- DStopping early greatly increases the risk of a clot forming in the stent
5.Trung bình
Which is a recognised risk factor for postoperative nausea and vomiting?
- ABeing male
- BA short operation under local anaesthetic
- CBeing a smoker
- DUse of opioids after surgery
6.Trung bình
What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?
- ASwallow the spray rather than leaving it under the tongue
- BTake it with a large glass of milk to protect the stomach lining
- CUse it only after the pain has lasted over an hour, with the patient lying flat
- DSit down before using it, as it can cause dizziness and low blood pressure
7.Khó
Which drug group is first-line for a prolonged convulsive seizure?
- ABenzodiazepines, such as buccal midazolam or IV lorazepam
- BAntihistamines, such as chlorphenamine
- COpioids, such as morphine or diamorphine, given intravenously
- DBeta-blockers, such as bisoprolol or atenolol
8.Khó
Bệnh nhân hấp hối thở ồn, khò khè do dịch tiết ở họng và đang bất tỉnh. Cách tiếp cận nào phù hợp?
- ANói với gia đình rằng bệnh nhân đang ngạt thở và cần thông khí
- BBắt đầu hút sâu hầu họng mỗi 10 phút suốt đêm
- CBắt đầu truyền dịch tĩnh mạch nhanh để làm loãng và làm sạch dịch tiết
- DThay đổi tư thế, cân nhắc thuốc giảm tiết theo y lệnh và hỗ trợ gia đình
Đáp án
- 1. C · 60–100 beats per minute
- 2. D · Wash the wound with soap and running water without scrubbing
- 3. D · Chemotherapy suppresses the bone marrow and lowers the white cell count
- 4. D · Stopping early greatly increases the risk of a clot forming in the stent
- 5. D · Use of opioids after surgery
- 6. D · Sit down before using it, as it can cause dizziness and low blood pressure
- 7. A · Benzodiazepines, such as buccal midazolam or IV lorazepam
- 8. D · Thay đổi tư thế, cân nhắc thuốc giảm tiết theo y lệnh và hỗ trợ gia đình
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.