1.简单
Which vaccine is used to protect against tuberculosis?
- ADTaP
- BBCG
- CMMR
- DHPV
2.简单
Which of these is one of the reversible causes of cardiac arrest known as the "4 Hs"?
- AHypoxia
- BHyperventilation
- CHypertension
- DHyperglycaemia
3.简单
Alpha-1 antitrypsin deficiency is an inherited cause of which lung disease?
- AEmphysema
- BLung cancer
- CAsthma
- DPneumothorax
4.中等
What is the purpose of a mucolytic such as carbocisteine in chronic productive cough?
- ATo widen the airways within minutes
- BTo stop the patient coughing completely, day and night
- CTo kill bacteria in the airways
- DTo make sputum thinner and easier to cough up
5.中等
Which ECG change is classically linked with hyperkalaemia?
- ATall, peaked T waves
- BDelta waves before the QRS
- CProminent U waves
- DA sawtooth baseline
6.中等
A patient on home oxygen has dry, sore lips. Which product is safest to use?
- AAn alcohol-based gel
- BA water-based lubricant
- CPetroleum jelly
- DAn oil-based balm
7.困难
A patient with pneumonia has a heart rate of 118/min, BP 86/50 mmHg, RR 28/min and a high lactate. Sepsis is recognised. Which action should not be delayed?
- AGive oral antibiotics and reassess the next day
- BWait for the sputum culture result before choosing an antibiotic
- CTake blood cultures and give IV antibiotics within the first hour
- DDelay fluids until a chest X-ray has been reported
8.困难
A patient with obstructive sleep apnoea who uses CPAP at home is having surgery. Which plan is safest after the operation?
- AGive extra opioids so the patient sleeps through the night
- BUse their CPAP machine and monitor closely, using opioids with caution
- CNurse the patient lying flat on their back to keep the airway open
- DLeave the CPAP machine at home, as it is not needed while in hospital
答案
- 1. B · BCG
- 2. A · Hypoxia
- 3. A · Emphysema
- 4. D · To make sputum thinner and easier to cough up
- 5. A · Tall, peaked T waves
- 6. B · A water-based lubricant
- 7. C · Take blood cultures and give IV antibiotics within the first hour
- 8. B · Use their CPAP machine and monitor closely, using opioids with caution
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