1.简单
下列哪项描述符合产后的“产后忧郁”(baby blues)?
- A情绪低落、兴趣丧失和睡眠不佳持续超过 2 周并影响日常生活
- B产后最初几周内突然出现幻觉和意识混乱
- C在数日内开始出现爱哭和情绪波动,约 2 周内缓解
- D伤害婴儿的想法持续数月
2.简单
Which definition of a fetal heart rate acceleration applies from 32 weeks?
- AA rise of 30 bpm lasting 2 minutes
- BA rise of 5 bpm lasting 5 seconds
- CA fall of 15 bpm lasting at least 15 seconds
- DA rise of at least 15 bpm lasting at least 15 seconds
3.简单
Which drug class is used to ripen an unfavourable cervix before induction?
- ABeta blockers
- BTocolytics
- CCorticosteroids
- DProstaglandins
4.中等
In fetal circulation, what is the function of the foramen ovale?
- AIt carries blood from the aorta back to the placenta
- BIt carries blood from the pulmonary artery to the aorta
- CIt lets blood from the umbilical vein bypass the liver
- DIt shunts blood from the right atrium to the left atrium
5.中等
哪种基线变异被认为是中等(正常)?
- A振幅为 6 至 25 bpm
- B振幅为 0 至 2 bpm
- C振幅超过 25 bpm
- D振幅为 3 至 5 bpm
6.中等
哪种模式定义了子宫收缩过频?
- A10 分钟内超过 2 次宫缩
- B10 分钟内超过 5 次宫缩,以 30 分钟为期取平均
- C宫缩持续 60 秒
- D早期产程中每 5 分钟一次宫缩,每次持续 60 秒
7.困难
Routine screening at the booking visit shows asymptomatic bacteriuria. Why is treatment important even though the woman has no symptoms?
- ATreatment is not needed because it will settle after birth
- BIt will cause gestational diabetes later in the pregnancy if left untreated
- CIt can progress to pyelonephritis and trigger preterm labour
- DIt is treated only to prevent bladder stones
8.困难
A woman with a history of postnatal depression is pregnant again. What is the most appropriate plan?
- AAdvise her that it will not happen again
- BWait to see whether depression returns after birth
- CPlan early support and monitoring before and after birth
- DTell her that breastfeeding will prevent it
答案
- 1. C · 在数日内开始出现爱哭和情绪波动,约 2 周内缓解
- 2. D · A rise of at least 15 bpm lasting at least 15 seconds
- 3. D · Prostaglandins
- 4. D · It shunts blood from the right atrium to the left atrium
- 5. A · 振幅为 6 至 25 bpm
- 6. B · 10 分钟内超过 5 次宫缩,以 30 分钟为期取平均
- 7. C · It can progress to pyelonephritis and trigger preterm labour
- 8. C · Plan early support and monitoring before and after birth
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