1.简单
哪种工具用于评估患者发生压力性损伤的风险?
- A简易精神状态检查
- BBraden 或 Waterlow 量表
- C格拉斯哥昏迷量表
- DApgar 评分
2.简单
格拉斯哥昏迷量表(GCS)评估的是:
- A疼痛、恶心和焦虑
- B瞳孔大小和反应、血压和脉搏
- C反射、肌张力和感觉
- D睁眼反应、言语反应和运动反应
3.简单
The term "bradycardia" in an adult means a heart rate:
- AAbove 100 beats per minute
- BThat is irregularly irregular
- CBelow 60 beats per minute
- DBetween 60 and 100 beats per minute
4.中等
In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?
- AA 24-hour urine collection
- BBlood cultures
- CA stool sample for occult blood
- DA fasting cholesterol level
5.中等
Why does a patient with a suspected TIA need urgent specialist assessment?
- AThe symptoms will come back permanently within an hour
- BThe patient needs urgent surgery on the brain
- CA TIA always turns into a brain tumour unless it is treated
- DThe risk of a full stroke is highest in the days after a TIA
6.中等
关于注射胰岛素,哪项说法正确?
- A总是注射在同一部位以保持吸收一致
- B轮换注射部位以避免脂肪增生
- C使用前应用力摇晃胰岛素
- D速效胰岛素只在睡前使用
7.困难
A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?
- AGTN makes sildenafil toxic to the liver
- BThe combination causes severe hyperkalaemia
- CThe combination can cause a severe, dangerous fall in blood pressure
- DSildenafil stops GTN from being absorbed under the tongue at all
8.困难
A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?
- ASwallowed blood from a nosebleed
- BA lower GI bleed from diverticular disease
- CBleeding from ruptured oesophageal varices
- DA Mallory-Weiss tear from a small amount of vomiting
答案
- 1. B · Braden 或 Waterlow 量表
- 2. D · 睁眼反应、言语反应和运动反应
- 3. C · Below 60 beats per minute
- 4. B · Blood cultures
- 5. D · The risk of a full stroke is highest in the days after a TIA
- 6. B · 轮换注射部位以避免脂肪增生
- 7. C · The combination can cause a severe, dangerous fall in blood pressure
- 8. C · Bleeding from ruptured oesophageal varices
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