1.简单
What is ascites?
- AFluid in the peritoneal cavity
- BFluid in the pericardial sac
- CFluid in the knee joint
- DAir under the skin
2.简单
Shingles (herpes zoster) is caused by:
- AReactivation of the chickenpox virus
- BA fungal infection of the nerves
- CA bacterial skin infection
- DAn allergy to medicines
3.简单
Coeliac disease is an immune reaction to:
- AShellfish
- BLactose
- CGluten
- DPeanuts
4.中等
Under the Mental Capacity Act 2005 (England and Wales), which principle applies?
- AA person must be assumed to have capacity unless it is shown that they lack it
- BEveryone over 75 is assumed to lack capacity
- CA diagnosis of dementia means the person lacks capacity for all decisions
- DCapacity is decided by the next of kin, who must sign a form for every decision
5.中等
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AIncreased urine output, less breathlessness and a falling weight
- BA rise in blood pressure and a new cough
- CFalling urine output, new ankle swelling and a rise in weight
- DA rise in weight and more lung crackles
6.中等
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
- AMagnesium
- BSodium
- CChloride
- DPhosphate
7.困难
A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?
- AMigraine with aura in a known migraine sufferer
- BSinusitis
- CTension headache
- DSubarachnoid haemorrhage
8.困难
A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?
- AThe patient must be assessed by a psychiatrist before refusing
- BThe team may override any decision that it disagrees with if it is serious
- CThe family may make the decision instead if they disagree with the patient's choice
- DA person is not treated as lacking capacity just because they make an unwise decision
答案
- 1. A · Fluid in the peritoneal cavity
- 2. A · Reactivation of the chickenpox virus
- 3. C · Gluten
- 4. A · A person must be assumed to have capacity unless it is shown that they lack it
- 5. A · Increased urine output, less breathlessness and a falling weight
- 6. A · Magnesium
- 7. D · Subarachnoid haemorrhage
- 8. D · A person is not treated as lacking capacity just because they make an unwise decision
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