1.简单
为什么重度 COPD 患者常采用较低的血氧饱和度目标(88–92%)?
- A只有在 COPD 中氧气才易燃
- B他们的肺完全不能吸收氧气
- C氧气会加重他们的胸痛
- D高流量吸氧可能使其中部分患者发生二氧化碳潴留
2.简单
What is a PEG tube?
- AA tube placed through the skin into the bladder to drain urine
- BA tube passed through the nose and down into the stomach
- CA feeding tube placed through the abdominal wall into the stomach
- DA tube placed in the chest to drain air
3.简单
In which type of fracture does the broken bone break through the skin?
- AA greenstick fracture
- BA closed (simple) fracture
- CA stress fracture
- DAn open (compound) fracture
4.中等
A very anxious patient breathes rapidly for a long period. Which change is expected?
- ARespiratory alkalosis from a low PaCO2
- BMetabolic acidosis from a low bicarbonate
- CMetabolic alkalosis from vomiting
- DRespiratory acidosis from a high PaCO2
5.中等
A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?
- AAs an allergy to all painkillers
- BAs a side effect or intolerance, not a true allergy
- CIt should not be recorded at all
- DAs a severe anaphylactic allergy to all opioids
6.中等
After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?
- AThe patient will need antibiotics
- BThe needle must be sent for culture
- CPost-exposure prophylaxis works best when started as soon as possible
- DThe nurse must be tested for HIV the same day to confirm infection
7.困难
一名长期使用类固醇的患者在呕吐、漏服药物后急性起病,出现低血压和意识混乱。应考虑哪种急症?
- A甲状腺危象
- B肾上腺危象
- C高钙血症
- D尿崩症
8.困难
A patient with back pain develops numbness around the anus and genitals and new difficulty passing urine. Which condition should be suspected?
- ASimple muscle strain
- BCauda equina syndrome
- CConstipation
- DKidney stones
答案
- 1. D · 高流量吸氧可能使其中部分患者发生二氧化碳潴留
- 2. C · A feeding tube placed through the abdominal wall into the stomach
- 3. D · An open (compound) fracture
- 4. A · Respiratory alkalosis from a low PaCO2
- 5. B · As a side effect or intolerance, not a true allergy
- 6. C · Post-exposure prophylaxis works best when started as soon as possible
- 7. B · 肾上腺危象
- 8. B · Cauda equina syndrome
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