1.Dễ
In a mental status examination, what does assessing orientation check?
- AWhether the patient understands that they are ill and needs treatment for it
- BWhether the patient knows the time, the place and who they are
- CWhether the patient can interpret proverbs and explain their meaning
- DWhether the patient's mood matches the facial expression and tone of voice
2.Dễ
Which statement about nicotine replacement therapy is correct?
- AIt contains tar and carbon monoxide in smaller amounts than cigarettes
- BIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
- CIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
- DIt must never be combined, for example a patch with gum
3.Dễ
Which signs suggest acute cocaine intoxication?
- ADilated pupils, a fast heart rate and high blood pressure
- BSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
- CPinpoint pupils, slow breathing and drowsiness
- DRed eyes, increased appetite, dry mouth and slowed reactions
4.Trung bình
A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?
- AOnly after 7 days without alcohol
- BAbout 6–24 hours after the last drink
- CWithin 5 minutes of the last drink
- DAbout 2–3 weeks after the last drink
5.Trung bình
Người bệnh dùng disulfiram cần được hướng dẫn điều gì?
- AThuốc chữa khỏi phụ thuộc rượu chỉ sau một liều
- BTránh mọi loại rượu, kể cả các nguồn ẩn như một số nước súc miệng và nước sốt
- CMột lượng nhỏ bia là an toàn
- DThuốc chỉ có tác dụng nếu uống rượu cùng, nên cần một ít rượu vang mỗi ngày
6.Trung bình
What is the CIWA-Ar scale used for?
- AMeasuring the risk of falls in hospital
- BMeasuring the depth of sedation in patients on a ventilator in intensive care
- CScreening for dementia in older adults
- DRating the severity of alcohol withdrawal to guide treatment
7.Khó
The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?
- ADischarge him to live alone in a flat, without any support from his family or the team
- BAdvise the parents to stop all contact with their son
- CTell the parents that they caused his illness
- DFamily psychoeducation and help to communicate with less criticism
8.Khó
A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?
- AFollow policy, for example by supervising the shave or offering an electric razor
- BGive him the razor, because he has the right to his own belongings
- CRefuse, and tell him he cannot shave at all while in hospital
- DLet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
Đáp án
- 1. B · Whether the patient knows the time, the place and who they are
- 2. C · It provides nicotine without the harmful smoke, to reduce withdrawal and cravings
- 3. A · Dilated pupils, a fast heart rate and high blood pressure
- 4. B · About 6–24 hours after the last drink
- 5. B · Tránh mọi loại rượu, kể cả các nguồn ẩn như một số nước súc miệng và nước sốt
- 6. D · Rating the severity of alcohol withdrawal to guide treatment
- 7. D · Family psychoeducation and help to communicate with less criticism
- 8. A · Follow policy, for example by supervising the shave or offering an electric razor
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.