1.简单
肢体打上石膏后,应定期进行哪项评估?
- A视力检查
- B听力测试
- C石膏远端肢体的神经血管观察
- D呼气峰流速测定
2.简单
对于意识清醒、能配合的低血糖成人,一线处理是什么?
- A注射胰岛素
- B仅静脉输注 0.9% 生理盐水,一小时后再复查血糖
- C口服快速起效的碳水化合物,如葡萄糖片或果汁
- D吃一顿油腻的大餐
3.简单
哪项体征提示成人脱水?
- A口干、尿液深色浓缩以及心动过速
- B两天内体重增加
- C口腔湿润、尿色浅、脉搏正常
- D踝部肿胀、肺部湿啰音和颈静脉压升高
4.中等
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
- AOnly with the patient lying flat
- BDriven by compressed air, with oxygen given separately if needed
- CDriven by high-flow oxygen at 15 L/min for as long as possible
- DWithout monitoring oxygen saturation
5.中等
Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?
- AHair loss
- BBradycardia
- CGenital fungal infections
- DSevere weight gain and fluid retention
6.中等
一名患者的液体平衡记录显示 24 小时入量 1,200 mL,出量 2,300 mL。这表示什么?
- A液体正平衡 1,100 mL
- B液体负平衡 1,100 mL
- C液体正平衡 3,500 mL
- D液体出入平衡
7.困难
Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?
- AEnteral syringes measure doses less accurately
- BIV syringes cannot hold liquid medicines
- CTo prevent accidental intravenous administration
- DEnteral syringes keep the medicine sterile
8.困难
A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12.5 to 8.5 g/dL) and their heart rate has risen to 118/min. What is the priority?
- AEncourage the patient to eat iron-rich foods
- BDocument the result and take no further action
- CEscalate urgently, as the patient may be bleeding
- DRecheck the haemoglobin next week
答案
- 1. C · 石膏远端肢体的神经血管观察
- 2. C · 口服快速起效的碳水化合物,如葡萄糖片或果汁
- 3. A · 口干、尿液深色浓缩以及心动过速
- 4. B · Driven by compressed air, with oxygen given separately if needed
- 5. C · Genital fungal infections
- 6. B · 液体负平衡 1,100 mL
- 7. C · To prevent accidental intravenous administration
- 8. C · Escalate urgently, as the patient may be bleeding
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