1.简单
The term "proteinuria" means:
- AToo much protein in the diet
- BLow protein in the blood
- CProtein in the urine
- DPainful passing of urine
2.简单
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
- A10 mmol/L
- B4 mmol/L
- C7 mmol/L
- D1 mmol/L
3.简单
A wheeze heard on chest auscultation is caused by:
- AThe pleural layers rubbing together
- BFluid collecting in the pleural space
- CAir flowing through narrowed airways
- DFluid in the alveoli
4.中等
Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?
- AThe stent will dissolve if the drugs are stopped before the course ends
- BStopping early greatly increases the risk of a clot forming in the stent
- CStopping causes immediate kidney failure
- DStopping causes severe low blood pressure
5.中等
Which advice should be given to a patient with a new permanent pacemaker?
- ATell staff about the pacemaker before any MRI scan or procedure
- BStop all heart medicines straight away
- CAvoid using all household electrical appliances such as kettles
- DNever raise the arm on that side again
6.中等
In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:
- A0.5 × 109/L
- B15 × 109/L
- C5 × 109/L
- D150 × 109/L
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
- BSubarachnoid haemorrhage
- CSinusitis
- DTension headache
8.困难
A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?
- AStopping insulin causes immediate hypoglycaemia during the operation
- BWithout any insulin they can develop diabetic ketoacidosis
- CInsulin prevents wound infection on its own
- DInsulin is needed for the anaesthetic to work
答案
- 1. C · Protein in the urine
- 2. B · 4 mmol/L
- 3. C · Air flowing through narrowed airways
- 4. B · Stopping early greatly increases the risk of a clot forming in the stent
- 5. A · Tell staff about the pacemaker before any MRI scan or procedure
- 6. A · 0.5 × 109/L
- 7. B · Subarachnoid haemorrhage
- 8. B · Without any insulin they can develop diabetic ketoacidosis
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