1.简单
Gout is caused by:
- AA bacterial infection of the bone
- BUric acid crystals forming in a joint
- CA lack of calcium in the diet
- DWear and tear of the joint cartilage
2.简单
When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:
- A10 mL of retained fluid
- B100 mL of retained fluid
- C5 litres of retained fluid
- D1 litre of retained fluid
3.简单
What is the usual normal platelet count in adults?
- A150–400 × 109/L (150,000–400,000/mm3)
- B4–11 × 109/L (4,000–11,000/mm3)
- C1–2 × 109/L (1,000–2,000/mm3)
- D1,000–2,000 × 109/L (1–2 million/mm3)
4.中等
Which measure helps reduce the risk of surgical site infection?
- AShaving the area with a razor the night before surgery
- BChanging the wound dressing every hour
- CLeaving the patient cool during surgery to slow bacterial growth
- DRemoving hair, if needed, with clippers rather than a razor
5.中等
Which statement about storing insulin is correct?
- AInsulin never expires once opened
- BAll insulin should be stored in the freezer to keep it fresh
- CUnopened insulin is kept in the fridge and must not be frozen
- DInsulin should be kept in direct sunlight
6.中等
A patient on the ward has shingles with open blisters. Which people are most at risk from contact?
- AOnly people over 80 who have already had shingles themselves
- BPregnant women and immunocompromised people who have not had chickenpox
- CNo one, because shingles cannot spread
- DPeople who have already had chickenpox in childhood and are now healthy
7.困难
Why must a unit of red cells be transfused within the set time limit (commonly four hours) after it leaves controlled cold storage?
- AThe red cells break down and turn into plasma
- BThe bag stops dripping after four hours
- CBacteria can grow in the blood at room temperature
- DThe blood group of the cells changes after a few hours
8.困难
A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?
- ASinusitis
- BMigraine with aura in a known migraine sufferer
- CSubarachnoid haemorrhage
- DTension headache
答案
- 1. B · Uric acid crystals forming in a joint
- 2. D · 1 litre of retained fluid
- 3. A · 150–400 × 109/L (150,000–400,000/mm3)
- 4. D · Removing hair, if needed, with clippers rather than a razor
- 5. C · Unopened insulin is kept in the fridge and must not be frozen
- 6. B · Pregnant women and immunocompromised people who have not had chickenpox
- 7. C · Bacteria can grow in the blood at room temperature
- 8. C · Subarachnoid haemorrhage
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