1.简单
为什么卒中患者在经口进食、饮水或服药之前应进行吞咽筛查?
- A预防压力性损伤
- B检查其血糖水平
- C测量其血压
- D降低误吸风险
2.简单
Which pair of symptoms is typical of hyperglycaemia?
- APinpoint pupils and slow breathing
- BSweating, trembling hands and a sudden feeling of hunger
- CSlow pulse and cold, pale skin
- DIncreased thirst and passing large amounts of urine
3.简单
格拉斯哥昏迷量表(GCS)评估的是:
- A瞳孔大小和反应、血压和脉搏
- B反射、肌张力和感觉
- C疼痛、恶心和焦虑
- D睁眼反应、言语反应和运动反应
4.中等
Which examination findings suggest a large pleural effusion on one side?
- AWheeze heard over both lungs
- BA hyper-resonant chest with the trachea pulled towards that side
- CNormal breath sounds and normal percussion
- DDull percussion and reduced breath sounds over the lung base
5.中等
一名患者的 NEWS2 评分升至 7 分。恰当的应对是什么?
- A由具备危重症救治能力的临床团队进行紧急评估
- B记录评分,增加观察频次,并等待早上的查房
- C继续每 12 小时观察一次
- D给予镇静剂,稍后复查
6.中等
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo measure their lung function so the result can go in the discharge letter
- BTo strengthen the abdominal muscles around the wound
- CTo encourage deep breaths that prevent atelectasis and chest infection
- DTo lower their heart rate before mobilising
7.困难
Why is hypokalaemia particularly dangerous in a patient taking digoxin?
- ALow potassium makes digoxin work too slowly
- BLow potassium stops digoxin from being absorbed
- CDigoxin raises potassium to dangerous levels when it is already low
- DLow potassium increases the risk of digoxin toxicity
8.困难
A patient has a full-thickness burn all the way round the forearm. Which complication must be watched for closely?
- ALoss of circulation to the hand as swelling builds under tight burned skin
- BExcessive bleeding from the burn surface needing an urgent blood transfusion
- CHypoglycaemia caused by the body using glucose to heal the burn
- DDelayed hair growth on the arm
答案
- 1. D · 降低误吸风险
- 2. D · Increased thirst and passing large amounts of urine
- 3. D · 睁眼反应、言语反应和运动反应
- 4. D · Dull percussion and reduced breath sounds over the lung base
- 5. A · 由具备危重症救治能力的临床团队进行紧急评估
- 6. C · To encourage deep breaths that prevent atelectasis and chest infection
- 7. D · Low potassium increases the risk of digoxin toxicity
- 8. A · Loss of circulation to the hand as swelling builds under tight burned skin
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