1.简单
What does "orthopnoea" mean?
- ABreathlessness when lying flat
- BA pause in breathing during sleep
- CBreathlessness only during exercise
- DBreathing that is abnormally slow
2.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多少都行,只要每天有排尿
- B约每小时每千克 0.05 mL
- C约每小时每千克 5 mL
- D约每小时每千克体重 0.5 mL
3.简单
What does "dysphagia" mean?
- ADifficulty speaking
- BPain when passing urine
- CDifficulty breathing
- DDifficulty swallowing
4.中等
Which is a first-line nursing measure to help prevent constipation in hospital?
- ARestricting fluids to reduce urine output
- BEncouraging fluids, fibre and mobility
- CKeeping the patient in bed
- DGiving an enema to every patient on admission
5.中等
Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?
- ATo exclude significant arterial disease, as compression could cut off blood flow
- BTo work out the patient's fluid needs
- CTo measure how deep the ulcer is and how much exudate it produces
- DTo check for a urinary tract infection that could delay ulcer healing
6.中等
Which type of painkiller should a patient with liver cirrhosis usually avoid?
- AHot packs applied to a painful joint
- BParacetamol (acetaminophen), given in a carefully reduced and monitored dose
- CNon-steroidal anti-inflammatory drugs such as ibuprofen
- DLocal anaesthetic creams
7.困难
A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?
- AAnxiety about the new diagnosis that will settle with reassurance and rest alone
- BA stable rhythm that can safely be reviewed at the next routine ward round
- CHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
- DA normal response to atrial fibrillation needing no action
8.困难
A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?
- ASimple cellulitis that will settle with oral antibiotics
- BNecrotising fasciitis
- CAn allergic reaction to the dressing
- DA superficial bruise
答案
- 1. A · Breathlessness when lying flat
- 2. D · 约每小时每千克体重 0.5 mL
- 3. D · Difficulty swallowing
- 4. B · Encouraging fluids, fibre and mobility
- 5. A · To exclude significant arterial disease, as compression could cut off blood flow
- 6. C · Non-steroidal anti-inflammatory drugs such as ibuprofen
- 7. C · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion
- 8. B · Necrotising fasciitis
完整分步解答:请在 examproblems.com 上练习本主题。