1.简单
正在监测一名患者的尿量。成人常用的最低每小时尿量目标是多少?
- A约每小时每千克 0.05 mL
- B多少都行,只要每天有排尿
- C约每小时每千克体重 0.5 mL
- D约每小时每千克 5 mL
2.简单
Which of these intravenous fluids is isotonic?
- A8.4% sodium bicarbonate
- B10% glucose
- C3% sodium chloride
- D0.9% sodium chloride
3.简单
Gout is caused by:
- AA bacterial infection of the bone
- BWear and tear of the joint cartilage
- CUric acid crystals forming in a joint
- DA lack of calcium in the diet
4.中等
Why is an urgent brain scan needed before thrombolysis for a suspected stroke?
- ATo confirm the patient's age
- BTo rule out bleeding in the brain
- CTo measure the size of the ventricles
- DTo check for brain tumours only
5.中等
过敏性休克的一线药物治疗是什么?
- A口服抗组胺药,如西替利嗪
- B肌内注射肾上腺素
- C吸入糖皮质激素
- D静脉对乙酰氨基酚
6.中等
一名化疗后中性粒细胞减少的患者体温为 38.3 °C。首要措施是什么?
- A鼓励患者出去散步
- B只给对乙酰氨基酚,明天再次复查体温
- C按中性粒细胞减少性脓毒症处理,紧急静脉使用抗生素
- D等 24 小时看发热是否消退
7.困难
Which feature best distinguishes delirium from dementia?
- ADementia always causes visual hallucinations
- BDelirium is permanent, while dementia is reversible
- CDelirium only affects people under 50, while dementia affects older people
- DDelirium starts suddenly and fluctuates, while dementia develops gradually
8.困难
A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?
- AThe patient has developed gastroenteritis
- BThe analgesia has started working
- CThe appendicitis has resolved without treatment
- DThe appendix has perforated, causing peritonitis
答案
- 1. C · 约每小时每千克体重 0.5 mL
- 2. D · 0.9% sodium chloride
- 3. C · Uric acid crystals forming in a joint
- 4. B · To rule out bleeding in the brain
- 5. B · 肌内注射肾上腺素
- 6. C · 按中性粒细胞减少性脓毒症处理,紧急静脉使用抗生素
- 7. D · Delirium starts suddenly and fluctuates, while dementia develops gradually
- 8. D · The appendix has perforated, causing peritonitis
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