1.简单
"咖啡渣样"呕吐物提示:
- A上消化道出血
- B肾衰竭
- C伴呕吐但无任何出血的食物中毒
- D结肠下段的肠梗阻
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口服快速起效的碳水化合物,如葡萄糖片或果汁
- B吃一顿油腻的大餐
- C注射胰岛素
- D仅静脉输注 0.9% 生理盐水,一小时后再复查血糖
3.简单
What is the aim of aseptic non-touch technique (ANTT)?
- ATo make every procedure completely sterile
- BTo protect key parts and key sites from contamination
- CTo avoid needing to wash hands
- DTo allow procedures to be done without gloves in all cases
4.中等
What happens in third-degree (complete) heart block?
- AThe atria beat chaotically with no P waves, and the ventricular rate is irregular
- BEvery impulse reaches the ventricles, but each one is slightly delayed
- CThe ventricles beat very fast and regularly
- DNo impulses from the atria reach the ventricles, so they beat independently
5.中等
Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?
- ANo mask, as long as gloves are worn
- BA cloth face covering
- CA fit-tested respirator mask (such as FFP3 or N95)
- DA standard fluid-repellent surgical mask with a visor
6.中等
Which features suggest Cushing's syndrome?
- AWeight gain around the trunk, a rounded face and thin, easily bruised skin
- BWeight loss, heat intolerance, tremor and protruding eyes
- CDark skin, low blood pressure, salt craving and a low blood sodium level
- DCoarse facial features and very large hands and feet
7.困难
A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?
- A"I will rub the area firmly after the injection."
- B"I will change the injection site each time."
- C"I will inject into the fatty tissue of my abdomen."
- D"I will report any unusual bleeding or bruising."
8.困难
一名疑似脑膜炎的患者有发热、颈项强直和压之不褪色的皮疹。首要措施是什么?
- A调暗灯光,鼓励休息,四小时后复测生命体征
- B紧急评估并立即使用抗生素,无须等待检查
- C在开始任何治疗之前等待腰椎穿刺结果
- D用对乙酰氨基酚退热,明天再评估患者
答案
- 1. A · 上消化道出血
- 2. A · 口服快速起效的碳水化合物,如葡萄糖片或果汁
- 3. B · To protect key parts and key sites from contamination
- 4. D · No impulses from the atria reach the ventricles, so they beat independently
- 5. C · A fit-tested respirator mask (such as FFP3 or N95)
- 6. A · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 7. A · "I will rub the area firmly after the injection."
- 8. B · 紧急评估并立即使用抗生素,无须等待检查
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