1.简单
Which structure is the heart's natural pacemaker?
- AThe bundle of His
- BThe atrioventricular (AV) node
- CThe Purkinje fibres
- DThe sinoatrial (SA) node
2.简单
What does "hypovolaemia" mean?
- AA reduced volume of blood in the circulation
- BA low level of sodium in the blood
- CA high level of fluid in the tissues
- DA low level of haemoglobin with a normal blood volume
3.简单
When do the coronary arteries of the left ventricle mainly fill with blood?
- AOnly during exercise
- BOnly during inspiration
- CDuring systole
- DDuring diastole
4.中等
Why is active tuberculosis treated with several drugs for at least six months?
- ABecause each drug works on a different organ only
- BTo kill slow-growing bacteria and prevent drug resistance
- CBecause the bacteria are resistant to all drugs at first
- DTo reduce the number of side effects compared with one drug
5.中等
A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?
- AIntravenous adenosine
- BOral bisoprolol
- CIntravenous atropine
- DIntravenous amiodarone
6.中等
A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?
- ALow blood sodium
- BRaised blood glucose
- CSlow heart rate
- DLow blood pressure
7.困难
A 28-year-old woman taking the combined pill comes in breathless and anxious. RR is 30/min, heart rate 118/min and SpO₂ 90% on air. A colleague says it is a panic attack. What should the nurse conclude?
- AShe should be sent home after a sedative
- BThe saturation is normal for an anxious person who is breathing fast
- CBreathing into a paper bag is the best first treatment for her
- DLow oxygen saturation is not explained by anxiety; PE must be excluded
8.困难
A healthcare assistant (unlicensed assistive personnel) reports four observations. Which one needs the nurse's attention first?
- AA patient with heart failure who is newly confused, with SpO₂ 89%
- 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 a DVT whose leg is less swollen today
答案
- 1. D · The sinoatrial (SA) node
- 2. A · A reduced volume of blood in the circulation
- 3. D · During diastole
- 4. B · To kill slow-growing bacteria and prevent drug resistance
- 5. C · Intravenous atropine
- 6. B · Raised blood glucose
- 7. D · Low oxygen saturation is not explained by anxiety; PE must be excluded
- 8. A · A patient with heart failure who is newly confused, with SpO₂ 89%
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