1.简单
Mesothelioma of the pleura is strongly linked with exposure to which substance?
- APollen
- BWood smoke
- CAsbestos
- DCoal dust
2.简单
What is the correct first aid for an adult with a nosebleed?
- ABlow the nose hard to clear the clots
- BTilt the head back and pinch the bony bridge of the nose firmly
- CSit forward and pinch the soft part of the nose for 10–15 minutes
- DLie flat on the back with the head turned to one side for an hour
3.简单
Which chest X-ray finding is classic for sarcoidosis?
- AEnlarged lymph nodes at both lung hila
- BA single round mass in one apex
- CA completely white lung on one side
- DA visible edge of collapsed lung
4.中等
Which history is a contraindication to thrombolysis for a STEMI?
- AA previous haemorrhagic stroke
- BMild asthma controlled with inhalers
- CA previous appendicectomy many years ago
- DTreated high blood pressure
5.中等
What is the purpose of cardiac resynchronisation therapy (a biventricular pacemaker)?
- ATo make both ventricles contract together and more efficiently
- BTo replace a damaged heart valve
- CTo slow the atrial rate in patients with atrial fibrillation
- DTo deliver a shock whenever the heart rate exceeds 100/min
6.中等
A patient with bronchiectasis of the right lower lobe is taught postural drainage. How should they be positioned?
- AFlat on the back with the arms raised
- BSitting fully upright at all times
- CWith the affected lobe uppermost so gravity drains it
- DWith the affected lobe lowest so it fills with mucus
7.困难
经股动脉 PCI 术后四小时,腹股沟敷料被血浸透,一个质硬的肿块正在增大。应立即采取什么措施?
- A揭掉敷料,让穿刺部位暴露于空气中
- B协助患者坐起并走到厕所排尿
- C在穿刺点上方用力按压并呼救
- D加快肝素输注速度,使该部位不形成血栓
8.困难
After an anaphylactic reaction to a bee sting that responded to adrenaline (epinephrine), a patient asks to go home immediately. Which advice is most appropriate?
- AGo home straight away, because anaphylaxis never recurs once adrenaline has worked
- BStay in hospital for at least two weeks on daily intravenous antihistamines
- CStay for observation, then go home with an adrenaline auto-injector and teaching
- DGo home and take antihistamines only if the throat swells
答案
- 1. C · Asbestos
- 2. C · Sit forward and pinch the soft part of the nose for 10–15 minutes
- 3. A · Enlarged lymph nodes at both lung hila
- 4. A · A previous haemorrhagic stroke
- 5. A · To make both ventricles contract together and more efficiently
- 6. C · With the affected lobe uppermost so gravity drains it
- 7. C · 在穿刺点上方用力按压并呼救
- 8. C · Stay for observation, then go home with an adrenaline auto-injector and teaching
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