1.简单
Stress urinary incontinence is leakage of urine:
- AOnly when feeling anxious or upset
- BWhen coughing, sneezing or lifting
- CCaused by a blocked catheter
- DOnly during sleep
2.简单
正在监测一名患者的尿量。成人常用的最低每小时尿量目标是多少?
- A约每小时每千克 0.05 mL
- B多少都行,只要每天有排尿
- C约每小时每千克体重 0.5 mL
- D约每小时每千克 5 mL
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疼痛、恶心和焦虑
- C反射、肌张力和感觉
- D睁眼反应、言语反应和运动反应
4.中等
Why is lactulose given to a patient with hepatic encephalopathy?
- ATo lower the blood glucose
- BTo stop bleeding from varices
- CTo reduce the absorption of ammonia from the gut
- DTo increase the liver's production of albumin
5.中等
A patient on insulin reports nightmares, night sweats and morning headaches. What should be suspected?
- AHyperthyroidism
- BA urinary tract infection
- CRaised intracranial pressure
- DNight-time hypoglycaemia
6.中等
A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?
- ARestrict fluids to encourage appetite and give a low-protein diet instead
- BWeigh the patient again in six months and review at that point
- CRefer to the dietitian and start a nutrition care plan with food charts
- DEncourage a low-calorie diet
7.困难
一名疑似脑膜炎的患者有发热、颈项强直和压之不褪色的皮疹。首要措施是什么?
- A紧急评估并立即使用抗生素,无须等待检查
- B在开始任何治疗之前等待腰椎穿刺结果
- C调暗灯光,鼓励休息,四小时后复测生命体征
- D用对乙酰氨基酚退热,明天再评估患者
8.困难
A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?
- A"I will report any unusual bleeding or bruising."
- B"I will rub the area firmly after the injection."
- C"I will change the injection site each time."
- D"I will inject into the fatty tissue of my abdomen."
答案
- 1. B · When coughing, sneezing or lifting
- 2. C · 约每小时每千克体重 0.5 mL
- 3. D · 睁眼反应、言语反应和运动反应
- 4. C · To reduce the absorption of ammonia from the gut
- 5. D · Night-time hypoglycaemia
- 6. C · Refer to the dietitian and start a nutrition care plan with food charts
- 7. A · 紧急评估并立即使用抗生素,无须等待检查
- 8. B · "I will rub the area firmly after the injection."
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