1.简单
患者刚刚发生癫痫发作,现在昏昏欲睡。首要措施是什么?
- A让其睡觉醒酒,不再做任何进一步观察
- B置于复苏体位(侧卧位),保持气道通畅
- C立即给予食物和水
- D用力按住防止其活动
2.简单
Rheumatoid arthritis typically affects:
- AOnly the big toe
- BOnly the spine
- CThe small joints of the hands and feet on both sides of the body
- DOnly one large weight-bearing joint, such as the knee or hip
3.简单
The term "hypovolaemia" means:
- AA low level of oxygen in the blood
- BA low volume of blood or fluid in the circulation
- CA high level of potassium in the circulating blood
- DToo much fluid in the circulation
4.中等
After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?
- ADoing gentle ankle exercises
- BWalking short distances with a frame and a physiotherapist
- CLying on their back
- DBending the hip beyond 90 degrees or crossing the legs
5.中等
Which equipment must always be kept at the bedside of a patient with a tracheostomy?
- AA peak flow meter and a nebuliser
- BA blood glucose meter and a spare urinary catheter of the same size
- CA blood pressure cuff and a spare nasal cannula and oxygen mask only
- DSpare tracheostomy tubes, including one a size smaller, and working suction
6.中等
急性缺血性卒中的静脉溶栓一般在什么时间窗内进行?
- A症状出现后 48 小时内
- B症状出现后 4.5 小时内
- C一周内任何时间
- D只在 24 小时之后
7.困难
The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?
- AThe patient's breathing has become normal and the drain can be pulled out by the nurse
- BThe drain is working perfectly and needs no checks
- CThe tube may be kinked or blocked, or the lung may have fully re-expanded
- DThe water seal has been set up correctly for the first time
8.困难
A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?
- AAnxiety about the new diagnosis that will settle with reassurance and rest alone
- BA normal response to atrial fibrillation needing no action
- CHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
- DA stable rhythm that can safely be reviewed at the next routine ward round
答案
- 1. B · 置于复苏体位(侧卧位),保持气道通畅
- 2. C · The small joints of the hands and feet on both sides of the body
- 3. B · A low volume of blood or fluid in the circulation
- 4. D · Bending the hip beyond 90 degrees or crossing the legs
- 5. D · Spare tracheostomy tubes, including one a size smaller, and working suction
- 6. B · 症状出现后 4.5 小时内
- 7. C · The tube may be kinked or blocked, or the lung may have fully re-expanded
- 8. C · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion
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