1.简单
Which muscle does most of the work of quiet breathing?
- AThe diaphragm
- BThe abdominal muscles
- CThe sternocleidomastoid
- DThe trapezius
2.简单
Which side effect is typical of an inhaled long-acting antimuscarinic such as tiotropium?
- AOral thrush
- BDiarrhoea
- CWeight gain
- DDry mouth
3.简单
深静脉血栓形成最严重的并发症是什么?
- A血栓后下肢肿胀
- B肺栓塞
- C静脉曲张
- D浅表血栓性静脉炎
4.中等
A patient's ankle–brachial pressure index (ABPI) is 0.6. What does this suggest?
- ANormal leg circulation
- BStiff, calcified arteries that read falsely high
- CA deep vein thrombosis
- DSignificant peripheral arterial disease
5.中等
A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?
- AUse only the left arm for heavy lifting to build up its muscles
- BApply tight jewellery to the left wrist
- CKeep the left arm hanging down and as still as possible all day
- DAvoid BP cuffs and injections on the left arm where possible
6.中等
A patient taking isosorbide mononitrate asks about sildenafil for erectile dysfunction. What is the main danger?
- AA very high potassium level
- BSevere hypertension
- CSevere hypotension
- DBleeding from the gums
7.困难
A healthcare assistant (unlicensed assistive personnel) reports four observations. Which one needs the nurse's attention first?
- AA patient with a DVT whose leg is less swollen today
- BA patient with COPD whose SpO₂ is 90% on 1 L/min, which is usual for him
- CA patient after a PCI asking for a cup of tea
- DA patient with heart failure who is newly confused, with SpO₂ 89%
8.困难
A patient with crushing chest pain has ST elevation in leads V1–V4. Which coronary artery is most likely blocked?
- AThe left anterior descending artery
- BThe left subclavian artery
- CThe circumflex artery
- DThe right coronary artery and its branches
答案
- 1. A · The diaphragm
- 2. D · Dry mouth
- 3. B · 肺栓塞
- 4. D · Significant peripheral arterial disease
- 5. D · Avoid BP cuffs and injections on the left arm where possible
- 6. C · Severe hypotension
- 7. D · A patient with heart failure who is newly confused, with SpO₂ 89%
- 8. A · The left anterior descending artery
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