1.简单
What defines type 2 respiratory failure?
- ANormal PaO₂ with a low PaCO₂
- BHigh PaO₂ with a high bicarbonate
- CLow PaO₂ with a raised PaCO₂
- DLow PaO₂ with a normal or low PaCO₂
2.简单
What is atelectasis?
- AFluid in the space around the lung
- BNarrowing of the airways caused by spasm of smooth muscle
- CInfection of the lung tissue causing the alveoli to fill with pus
- DCollapse of part of the lung so the alveoli contain no air
3.简单
下列哪项表现最典型地提示右心衰竭?
- A粉红色泡沫痰和双肺底细湿啰音
- B夜间憋醒、喘不过气
- C仅在平卧时呼吸困难
- D下垂部位水肿和颈静脉压升高
4.中等
Which feature of a COPD exacerbation most suggests that antibiotics are needed?
- AAn increase in purulent (green or yellow) sputum
- BA mild sore throat that lasted for one day only
- CA dry, tickly cough with no sputum at all for a day
- DA clear runny nose
5.中等
Shortly after a permanent pacemaker is inserted via the subclavian vein, the patient becomes breathless with reduced breath sounds on that side. What complication should be suspected?
- APneumothorax
- BPulmonary oedema
- CAsthma
- DPericarditis
6.中等
为什么右心室梗死时使用硝酸酯类要格外谨慎?
- A硝酸酯类使梗死扩展到左心室
- B硝酸酯类在此类梗死中会引起危险的高钾血症
- C右心室依赖前负荷,血压可能急剧下降
- D右心室受累时硝酸酯类不被吸收
7.困难
Three hours after femoral cardiac catheterisation, a patient has new lower back and flank pain, a heart rate of 112/min and BP 92/60 mmHg. The groin looks normal. What should the nurse suspect?
- ARetroperitoneal bleeding
- BNormal back ache from lying flat
- CAn allergic reaction to the contrast
- DA urinary tract infection
8.困难
A patient with a valid, documented do-not-attempt-CPR decision (DNACPR in the UK, DNR or DNAR in the US) is found in cardiac arrest. What should the nurse do?
- AStart CPR but use only chest compressions
- BStart full CPR because the patient's family is not present
- CNot start CPR, call for support, and provide dignity and comfort
- DCall the arrest team and let them decide whether to resuscitate
答案
- 1. C · Low PaO₂ with a raised PaCO₂
- 2. D · Collapse of part of the lung so the alveoli contain no air
- 3. D · 下垂部位水肿和颈静脉压升高
- 4. A · An increase in purulent (green or yellow) sputum
- 5. A · Pneumothorax
- 6. C · 右心室依赖前负荷,血压可能急剧下降
- 7. A · Retroperitoneal bleeding
- 8. C · Not start CPR, call for support, and provide dignity and comfort
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