1.简单
Which side effect is particularly linked with spironolactone in men?
- AA persistent dry, tickly cough
- BBreast enlargement (gynaecomastia)
- CHair loss on the scalp and eyebrows
- DOrange-red colouring of the urine
2.简单
哪些患者群体最可能发生没有典型胸痛的心肌梗死?
- A吸烟者以及高胆固醇或肥胖者
- B年轻男性和经常运动的人
- C老年人、女性和糖尿病患者
- D青少年和哮喘患者
3.简单
对服用抗凝药的患者,应给予哪项建议?
- A从现在起避免吃所有绿叶蔬菜
- B一出现小瘀斑就漏服一次药
- C使用软毛牙刷,并报告异常出血
- D任何疼痛都服用布洛芬而不是对乙酰氨基酚
4.中等
为什么缺血性心脏病患者不应突然停用 β 受体阻滞剂?
- A停药后心率会永久性变慢
- B药物会在组织中储存数月
- C反跳性心动过速和高血压可诱发心绞痛或心肌梗死
- D突然停药会引起严重而持久的低血糖
5.中等
Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?
- ASlow injection makes the urine output larger
- BRapid high doses can damage hearing
- CRapid doses cause severe constipation
- DRapid doses cause the potassium level to rise
6.中等
A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?
- AAortic stenosis
- BAsthma
- CStable angina
- DPhaeochromocytoma
7.困难
通常教授的胸腔引流管拔除方法是哪种?
- A在屏气或呼气时拔除,然后封闭伤口
- B拔除后让伤口敞开引流一天
- C在负压吸引仍以最大功率运行时拔除
- D在患者缓慢深吸气的同时慢慢拔除
8.困难
A patient with COPD who is known to retain CO₂ arrives on 15 L/min oxygen. They are now drowsy with SpO₂ 99%. What is the most appropriate action?
- AKeep the oxygen at 15 L/min because the saturation is excellent
- BReduce the oxygen to aim for 88–92% and get a blood gas
- CRemove the oxygen completely and observe
- DGive a sedative to help the patient rest
答案
- 1. B · Breast enlargement (gynaecomastia)
- 2. C · 老年人、女性和糖尿病患者
- 3. C · 使用软毛牙刷,并报告异常出血
- 4. C · 反跳性心动过速和高血压可诱发心绞痛或心肌梗死
- 5. B · Rapid high doses can damage hearing
- 6. D · Phaeochromocytoma
- 7. A · 在屏气或呼气时拔除,然后封闭伤口
- 8. B · Reduce the oxygen to aim for 88–92% and get a blood gas
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