1.简单
对于没有高碳酸血症风险的大多数急症成人,通常的目标血氧饱和度(SpO2)是多少?
- A任何时候都是 100%
- B94–98%
- C所有人都是 88–92%
- D80–84%
2.简单
哪项体征提示静脉留置针部位发生了静脉炎?
- A皮肤正常且无痛
- B沿静脉走行发红、疼痛和肿胀
- C远离穿刺部位的皮肤苍白发凉
- D患者口渴
3.简单
Why are patients having chemotherapy at increased risk of infection?
- AChemotherapy stops the patient from sweating
- BChemotherapy makes the skin thicker
- CChemotherapy suppresses the bone marrow and lowers the white cell count
- DChemotherapy raises the white cell count too high for it to work properly
4.中等
Which advice should be given to a patient with a new permanent pacemaker?
- AAvoid using all household electrical appliances such as kettles
- BStop all heart medicines straight away
- CTell staff about the pacemaker before any MRI scan or procedure
- DNever raise the arm on that side again
5.中等
A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?
- ASitting upright with the legs dangling
- BStanding up and walking around
- CLying face down
- DLying flat, with the legs raised
6.中等
After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?
- ADoing gentle ankle exercises
- BBending the hip beyond 90 degrees or crossing the legs
- CLying on their back
- DWalking short distances with a frame and a physiotherapist
7.困难
A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?
- AThe respiratory rate rises and new lung crackles appear
- BThe heart rate rises further and the patient becomes more confused
- CThe heart rate falls, blood pressure rises and urine output improves
- DThe capillary refill time becomes longer
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 appendix has perforated, causing peritonitis
- BThe analgesia has started working
- CThe patient has developed gastroenteritis
- DThe appendicitis has resolved without treatment
答案
- 1. B · 94–98%
- 2. B · 沿静脉走行发红、疼痛和肿胀
- 3. C · Chemotherapy suppresses the bone marrow and lowers the white cell count
- 4. C · Tell staff about the pacemaker before any MRI scan or procedure
- 5. D · Lying flat, with the legs raised
- 6. B · Bending the hip beyond 90 degrees or crossing the legs
- 7. C · The heart rate falls, blood pressure rises and urine output improves
- 8. A · The appendix has perforated, causing peritonitis
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