1.简单
服用华法林治疗心房颤动的患者,通常的 INR 目标范围是多少?
- A0.5–1.0
- B1.0–1.5
- C4.0–5.0
- D2.0–3.0
2.简单
对吸烟者来说,哪项干预最能有效延缓 COPD 的进展?
- A戒烟
- B长期家庭氧疗
- C每日口服皮质类固醇
- D长期口服抗生素
3.简单
Which of these is one of the reversible causes of cardiac arrest known as the "4 Hs"?
- AHyperventilation
- BHypertension
- CHyperglycaemia
- DHypoxia
4.中等
关于定量吸入器的储雾罐,下列哪项说法正确?
- A它是为干粉吸入器设计的
- B它意味着可以完全停用类固醇预防型吸入器
- C它使每次喷出的药物比平时更强
- D所需的协调动作较少,更多药物到达肺部
5.中等
After a bronchoscopy with throat anaesthesia, when can the patient eat and drink?
- AOnly after a chest X-ray has been reported
- BAfter a full 24 hours without food
- CWhen the gag and cough reflexes have returned
- DImmediately after the scope is removed
6.中等
A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?
- AOral bisoprolol
- BIntravenous amiodarone
- CIntravenous atropine
- DIntravenous adenosine
7.困难
A nurse phones the doctor about a patient with pneumonia whose observations are worsening. Using SBAR, which statement is the clearest "recommendation"?
- A"I am calling about the patient in bed 6."
- B"He is 72 and was admitted yesterday with community-acquired pneumonia."
- C"I think he may have sepsis; please review him within 30 minutes."
- D"His heart rate is 124/min, his BP is 88/50 mmHg and he is confused."
8.困难
A patient had 40 minutes of chest pain at rest. The ECG shows ST depression without ST elevation, and the troponin is rising. What is the diagnosis?
- ANon-ST-elevation myocardial infarction
- BStable angina
- CAcute pericarditis
- DST-elevation myocardial infarction (STEMI)
答案
- 1. D · 2.0–3.0
- 2. A · 戒烟
- 3. D · Hypoxia
- 4. D · 所需的协调动作较少,更多药物到达肺部
- 5. C · When the gag and cough reflexes have returned
- 6. C · Intravenous atropine
- 7. C · "I think he may have sepsis; please review him within 30 minutes."
- 8. A · Non-ST-elevation myocardial infarction
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