1.简单
Which symptom should a patient taking a statin report promptly?
- AA brief headache on the first day
- BMild hunger before meals
- CUnexplained muscle pain or weakness
- DSlightly darker morning urine
2.简单
Which electrolyte do ACE inhibitors commonly raise?
- ASodium
- BCalcium
- CMagnesium
- DPotassium
3.简单
Which vessels carry oxygenated blood from the lungs to the heart?
- AThe coronary sinus
- BThe venae cavae
- CThe pulmonary veins
- DThe pulmonary arteries
4.中等
A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?
- AAvoid all potassium-containing foods
- BTake it with a large glass of grapefruit juice to improve absorption
- CTake the first dose at bedtime, as dizziness and fainting can occur
- DStop it suddenly if the heart rate rises after the first few doses
5.中等
Which feature of a COPD exacerbation most suggests that antibiotics are needed?
- AA clear runny nose
- BA dry, tickly cough with no sputum at all for a day
- CAn increase in purulent (green or yellow) sputum
- DA mild sore throat that lasted for one day only
6.中等
A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?
- AGive it only with the patient lying completely flat
- BRun it at the highest possible gas flow
- CUse a mouthpiece or protect the eyes from the mist
- DMix it with an eye drop before putting it in the nebuliser
7.困难
A frightened young woman is breathing fast and has tingling fingers. Her blood gas shows pH 7.50 and a low PaCO₂. SpO₂ is 99% on air. What does this show?
- AMetabolic alkalosis from vomiting
- BMetabolic acidosis from kidney failure
- CRespiratory alkalosis from hyperventilation
- DRespiratory acidosis from hypoventilation
8.困难
肝素输注第 6 天,患者血小板计数下降超过一半,并且一侧手臂新出现肿胀。护士应预期什么?
- A继续使用肝素并输注血小板
- B停用所有抗凝治疗两周
- C改用低分子量肝素,因为它是另一种药
- D停用所有肝素,并开始使用非肝素类抗凝药
答案
- 1. C · Unexplained muscle pain or weakness
- 2. D · Potassium
- 3. C · The pulmonary veins
- 4. C · Take the first dose at bedtime, as dizziness and fainting can occur
- 5. C · An increase in purulent (green or yellow) sputum
- 6. C · Use a mouthpiece or protect the eyes from the mist
- 7. C · Respiratory alkalosis from hyperventilation
- 8. D · 停用所有肝素,并开始使用非肝素类抗凝药
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