1.简单
Seasonal influenza is mainly spread by:
- ARespiratory droplets and contaminated hands or surfaces
- BContaminated food only
- CBlood transfusions and contaminated needles
- DMosquito and other insect bites in warm weather
2.简单
On a drug chart, "PRN" means a medicine is given:
- AWhen required
- BEvery morning
- COnce only
- DAt night
3.简单
What is a PEG tube?
- AA feeding tube placed through the abdominal wall into the stomach
- BA tube placed through the skin into the bladder to drain urine
- CA tube passed through the nose and down into the stomach
- DA tube placed in the chest to drain air
4.中等
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo lower their heart rate before mobilising
- BTo strengthen the abdominal muscles around the wound
- CTo measure their lung function so the result can go in the discharge letter
- DTo encourage deep breaths that prevent atelectasis and chest infection
5.中等
Which features suggest Cushing's syndrome?
- ACoarse facial features and very large hands and feet
- BWeight loss, heat intolerance, tremor and protruding eyes
- CDark skin, low blood pressure, salt craving and a low blood sodium level
- DWeight gain around the trunk, a rounded face and thin, easily bruised skin
6.中等
低钠血症患者应特别监测:
- A意识混乱、头痛和癫痫发作
- B鲜红色皮疹
- C毛发增多
- D听力下降
7.困难
A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?
- AChange the subject quickly to keep them cheerful and avoid upsetting them
- BLeave and send the doctor without saying anything
- CGently explore what the patient understands and what has prompted the question
- DTell the patient not to think about such things and to stay positive
8.困难
A postoperative patient on IV fluids has a sodium of 128 mmol/L and is becoming confused. Which fluid could make this worse if given in large amounts?
- AHartmann's solution (similar to lactated Ringer's)
- B5% glucose (D5W)
- CHuman albumin solution
- D0.9% sodium chloride
答案
- 1. A · Respiratory droplets and contaminated hands or surfaces
- 2. A · When required
- 3. A · A feeding tube placed through the abdominal wall into the stomach
- 4. D · To encourage deep breaths that prevent atelectasis and chest infection
- 5. D · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 6. A · 意识混乱、头痛和癫痫发作
- 7. C · Gently explore what the patient understands and what has prompted the question
- 8. B · 5% glucose (D5W)
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