1.简单
What is the normal resting respiratory rate for an adult?
- A30–40 breaths per minute
- B12–20 breaths per minute
- C24–30 breaths per minute
- D6–10 breaths per minute
2.简单
哪种体位通常能帮助 COPD 急性加重的患者更容易呼吸?
- A在硬床垫上俯卧
- B坐起,身体前倾,手臂有支撑
- C平躺仰卧,双腿用枕头抬高
- D侧卧,头部放低
3.简单
What does "pleuritic" chest pain mean?
- AAching that is worse when the arm is moved
- BBurning pain behind the breastbone after meals
- CSharp pain that worsens on breathing in or coughing
- DDull pressure that spreads to the jaw on exertion
4.中等
A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?
- ABoth inhalers puffed together in one breath
- BSteroid first, then salbutamol straight afterwards
- CThe order makes no difference to either drug
- DSalbutamol first, then the steroid after a short wait
5.中等
What is the main problem in heart failure with preserved ejection fraction?
- AA dilated ventricle that cannot contract strongly
- BA blocked pulmonary artery
- CA leaking aortic valve
- DA stiff ventricle that fills poorly in diastole
6.中等
Which skin changes around the ankles are typical of chronic venous insufficiency?
- ABrown staining, swelling and dry, itchy skin
- BA cold, white foot with no pulse
- CPale, shiny, hairless skin with weak pulses
- DA sharply defined red patch with fever
7.困难
A patient with pneumonia has a temperature of 39 °C, pain and a sinus tachycardia of 122/min. BP is normal. What is the best way to manage the heart rate?
- AArrange urgent electrical cardioversion to restore a normal rate
- BTreat the fever, pain and possible dehydration, then reassess
- CGive a beta-blocker to bring the heart rate below 100/min
- DGive IV adenosine
8.困难
A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?
- AStop all contraception during TB treatment, as pregnancy cannot occur
- BContinue the pill as usual, because there is no interaction with TB drugs
- CTake two pills a day to make up for the drug
- DUse another reliable method, as rifampicin reduces the pill's effect
答案
- 1. B · 12–20 breaths per minute
- 2. B · 坐起,身体前倾,手臂有支撑
- 3. C · Sharp pain that worsens on breathing in or coughing
- 4. D · Salbutamol first, then the steroid after a short wait
- 5. D · A stiff ventricle that fills poorly in diastole
- 6. A · Brown staining, swelling and dry, itchy skin
- 7. B · Treat the fever, pain and possible dehydration, then reassess
- 8. D · Use another reliable method, as rifampicin reduces the pill's effect
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