1.简单
Why should insulin injection sites be rotated?
- ATo prevent lumpy fatty areas that make absorption unpredictable
- BBecause insulin causes the skin to bleed if one site is used often
- CTo stop the insulin from freezing under the skin
- DTo make the insulin work more slowly and evenly every time
2.简单
Gout is caused by:
- AUric acid crystals forming in a joint
- BA bacterial infection of the bone
- CA lack of calcium in the diet
- DWear and tear of the joint cartilage
3.简单
下列哪项是低血糖的典型症状?
- A出汗、发抖和意识混乱
- B呼吸深快,呼气有水果味
- C皮肤温暖干燥、脉搏缓慢
- D口渴明显、尿量多
4.中等
一名患者有绞痛样腹痛、腹胀、呕吐,两天未排便排气。可能的问题是什么?
- A胃肠炎
- B无并发症的阑尾炎
- C肠梗阻
- D肠易激综合征
5.中等
为什么对疑似脓毒症的患者要测定血清乳酸?
- A它测量患者的血糖
- B它显示患者是否有尿路感染
- C它能确定该用哪种抗生素
- D乳酸升高表明组织灌注不良、风险更高
6.中等
Which equipment must always be kept at the bedside of a patient with a tracheostomy?
- AA blood glucose meter and a spare urinary catheter of the same size
- BSpare tracheostomy tubes, including one a size smaller, and working suction
- CA blood pressure cuff and a spare nasal cannula and oxygen mask only
- DA peak flow meter and a nebuliser
7.困难
After a head injury, a patient passes very large volumes of dilute urine and the serum sodium is rising. What is most likely?
- AAcute kidney injury
- BDiabetes mellitus
- CSyndrome of inappropriate ADH secretion
- DDiabetes insipidus
8.困难
A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?
- AGTN makes sildenafil toxic to the liver
- BSildenafil stops GTN from being absorbed under the tongue at all
- CThe combination causes severe hyperkalaemia
- DThe combination can cause a severe, dangerous fall in blood pressure
答案
- 1. A · To prevent lumpy fatty areas that make absorption unpredictable
- 2. A · Uric acid crystals forming in a joint
- 3. A · 出汗、发抖和意识混乱
- 4. C · 肠梗阻
- 5. D · 乳酸升高表明组织灌注不良、风险更高
- 6. B · Spare tracheostomy tubes, including one a size smaller, and working suction
- 7. D · Diabetes insipidus
- 8. D · The combination can cause a severe, dangerous fall in blood pressure
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