1.简单
Legionnaires' disease is usually acquired from which source?
- AContaminated water systems such as cooling towers and showers
- BContact with cats' litter trays while cleaning them at home
- CMosquito bites when travelling in warm, humid countries
- DEating undercooked chicken or eggs bought from a market stall
2.简单
In an adult over 40, an added third heart sound (S3) most often suggests which problem?
- AHeart failure with fluid overload
- BA narrowed aortic valve
- CA normal finding of good fitness
- DInflammation of the pericardium
3.简单
What is the normal range for arterial PaCO₂?
- AAbout 4.7–6.0 kPa (35–45 mmHg)
- BAbout 8.0–9.0 kPa (60–68 mmHg)
- CAbout 1.0–2.0 kPa (8–15 mmHg)
- DAbout 10–13 kPa (75–100 mmHg)
4.中等
A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?
- AA high haemoglobin level
- BNormal peripheral perfusion
- CReduced peripheral perfusion
- DAn unusually strong cardiac output
5.中等
A 34-year-old has hypertension that is hard to control and a low serum potassium without taking diuretics. Which cause should be considered?
- AHypothyroidism
- BPrimary hyperaldosteronism
- CIron-deficiency anaemia
- DEssential hypertension of ageing
6.中等
什么是射血分数?
- A舒张期充盈末期左心室内的压力
- B每次心搏射出的心室血量所占的百分比
- C每次心跳泵出的血量
- D心脏每分钟泵出的血量
7.困难
A patient with a stab wound to the chest has a hole that sucks air with each breath. What is the immediate management?
- ASeal it completely with tape on all four sides and leave it alone
- BLeave it open and give a nebuliser
- CPack the wound tightly with gauze pushed deep into the chest
- DCover it with a vented chest seal or a dressing taped on three sides
8.困难
A nurse receives handover on four patients. Which patient should be seen first?
- AA patient with asthma who wants a reliever inhaler before a walk
- BA patient with COPD on 1 L/min whose SpO₂ has been 89% and stable throughout the night
- CA patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
- DA patient with pneumonia on IV antibiotics who now has a temperature of 38.2 °C
答案
- 1. A · Contaminated water systems such as cooling towers and showers
- 2. A · Heart failure with fluid overload
- 3. A · About 4.7–6.0 kPa (35–45 mmHg)
- 4. C · Reduced peripheral perfusion
- 5. B · Primary hyperaldosteronism
- 6. B · 每次心搏射出的心室血量所占的百分比
- 7. D · Cover it with a vented chest seal or a dressing taped on three sides
- 8. C · A patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
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