1.简单
Which hormone made by the kidneys stimulates red blood cell production?
- AInsulin
- BErythropoietin
- CThyroxine
- DAldosterone
2.简单
Which of these is a common complication of prolonged bed rest?
- AImproved lung expansion
- BIncreased muscle strength
- CDeep vein thrombosis
- DLower risk of pressure ulcers
3.简单
Postural (orthostatic) hypotension is a drop in blood pressure that happens:
- AOnly during deep sleep
- BOn standing up from lying or sitting
- CAfter eating a large meal
- DOnly during heavy exercise or climbing stairs
4.中等
Which blood result often rises in an upper GI bleed because blood is digested in the gut?
- ASodium
- BUrea (blood urea nitrogen)
- CGlucose
- DCalcium
5.中等
Which advice should be given to a patient with a new permanent pacemaker?
- AStop all heart medicines straight away
- BNever raise the arm on that side again
- CTell staff about the pacemaker before any MRI scan or procedure
- DAvoid using all household electrical appliances such as kettles
6.中等
一个新做的结肠造口在术后第二天呈暗紫色至黑色。这表示什么?
- A造口术后正常的瘀青,无须处理
- B造口可能缺血,需要紧急评估
- C便秘
- D正常健康的造口
7.困难
During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?
- ATransfusion-associated circulatory overload
- BTransfusion-related acute lung injury with hypotension
- CAnaphylaxis
- DA febrile non-haemolytic reaction
8.困难
A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?
- AThe normal expected effect of the local anaesthetic
- BMild hypokalaemia
- CAn epidural haematoma or abscess compressing the spinal cord
- DMuscle strain from lying in the same position in bed for many hours
答案
- 1. B · Erythropoietin
- 2. C · Deep vein thrombosis
- 3. B · On standing up from lying or sitting
- 4. B · Urea (blood urea nitrogen)
- 5. C · Tell staff about the pacemaker before any MRI scan or procedure
- 6. B · 造口可能缺血,需要紧急评估
- 7. A · Transfusion-associated circulatory overload
- 8. C · An epidural haematoma or abscess compressing the spinal cord
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