1.简单
What is the "calf muscle pump"?
- AThe artery that supplies oxygenated blood to the muscles of the calf
- BA device that inflates around the calf during surgery to warm the leg
- CA heart valve that pumps blood into the legs
- DCalf muscles squeezing the deep veins to push blood towards the heart
2.简单
What is the normal resting heart rate range for an adult?
- A60–100 beats per minute
- B40–60 beats per minute
- C100–140 beats per minute
- D30–50 beats per minute
3.简单
Alpha-1 antitrypsin deficiency is an inherited cause of which lung disease?
- AAsthma
- BPneumothorax
- CLung cancer
- DEmphysema
4.中等
A patient has exercise-induced asthma. Which advice is most appropriate?
- ATake a beta-blocker before exercise
- BExercise only in cold, dry air to toughen the airways
- CUse the reliever inhaler shortly before exercise and warm up
- DAvoid all forms of exercise permanently to prevent attacks
5.中等
A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?
- AGiving thin fluids quickly through a straw between meals
- BLying flat for 30 minutes after eating to aid digestion
- CA swallowing assessment and sitting upright for meals
- DGiving meals while the patient is drowsy
6.中等
关于阿哌沙班和利伐沙班等直接口服抗凝药,下列哪项说法正确?
- A漏服无关紧要,因为它们的作用可持续数周
- B给予维生素 K 可逆转其作用
- C需要像华法林一样每周检测 INR
- D无需常规检测 INR,但剂量取决于肾功能
7.困难
A patient with severe chronic kidney disease needs therapeutic anticoagulation for a DVT. Why might unfractionated heparin be chosen instead of a low-molecular-weight heparin?
- ALMWH is cleared by the kidneys and can accumulate
- BLMWH cannot be given to anyone over 60
- CUnfractionated heparin is taken by mouth
- DUnfractionated heparin has no bleeding risk at all
8.困难
Four hours after cardiac surgery, the mediastinal drain, which had been draining steadily, suddenly stops. BP falls to 84/60 mmHg, the heart rate rises and the CVP climbs. What should the nurse suspect?
- ANormal recovery, as the bleeding has stopped
- BA tension pneumothorax on the left side
- CFluid overload from intravenous fluids
- DCardiac tamponade from a clotted drain
答案
- 1. D · Calf muscles squeezing the deep veins to push blood towards the heart
- 2. A · 60–100 beats per minute
- 3. D · Emphysema
- 4. C · Use the reliever inhaler shortly before exercise and warm up
- 5. C · A swallowing assessment and sitting upright for meals
- 6. D · 无需常规检测 INR,但剂量取决于肾功能
- 7. A · LMWH is cleared by the kidneys and can accumulate
- 8. D · Cardiac tamponade from a clotted drain
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