1.简单
术后使用激励式肺量计的目的是什么?
- A给予雾化支气管扩张剂
- B出院前检测肺功能
- C鼓励深呼吸,预防肺不张
- D测量患者的血氧饱和度
2.简单
胸腔引流水封瓶中的“波动”(潮动)是指什么?
- A液面随呼吸上下移动
- B患者走动时引流装置摇晃
- C无论患者是否呼吸,都持续冒气泡
- D血凝块沿引流管移动
3.简单
为什么吸氧患者附近必须避免吸烟和明火?
- A氧气接触温热的皮肤会爆炸
- B氧气使材料容易着火并剧烈燃烧
- C氧气本身受热后会变成易燃气体
- D烟雾会堵塞吸氧管上的小孔
4.中等
A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?
- APhaeochromocytoma
- BAortic stenosis
- CAsthma
- DStable angina
5.中等
Which energy-conservation advice is most useful for a patient with severe COPD?
- ASit down for tasks such as washing and dressing, and pace activities
- BDo all the household tasks quickly in the morning to get them done
- CAvoid any activity at all, staying in a chair to save their energy
- DHold the breath while lifting heavy objects
6.中等
After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?
- AStatins are given after an ACS mainly to lower the blood pressure
- BStatins reduce further events whatever the starting cholesterol
- CStatins work as painkillers for chest pain
- DStatins are needed only if the cholesterol level is very high
7.困难
一名心力衰竭患者三天内体重增加 2.5 kg,双肺底出现新的湿啰音,现在需要垫四个枕头睡觉。血压 138/84 mmHg,未吸氧时 SpO₂ 93%。优先处理是什么?
- A让患者平躺以让心脏休息、降低需求
- B鼓励多喝水以保护肾脏
- C让患者坐起,全面评估并报告液体过多
- D记录体重,下周末再复查
8.困难
Shortly after a thoracentesis, a patient becomes breathless with sharp chest pain and reduced breath sounds on the same side. What complication is most likely?
- APneumothorax
- BInfection at the puncture site
- CPulmonary embolism from the leg
- DRe-accumulation of the effusion
答案
- 1. C · 鼓励深呼吸,预防肺不张
- 2. A · 液面随呼吸上下移动
- 3. B · 氧气使材料容易着火并剧烈燃烧
- 4. A · Phaeochromocytoma
- 5. A · Sit down for tasks such as washing and dressing, and pace activities
- 6. B · Statins reduce further events whatever the starting cholesterol
- 7. C · 让患者坐起,全面评估并报告液体过多
- 8. A · Pneumothorax
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