1.简单
What is the normal range for arterial blood pH?
- A7.50–7.65
- B7.00–7.20
- C7.35–7.45
- D6.80–7.00
2.简单
What is an embolus?
- AA clot that stays fixed in the vessel where it first formed
- BA clot or other mass that travels in the blood and lodges elsewhere
- CA bulge in the weakened wall of an artery that may rupture
- DA narrowing of an artery caused by a build-up of fatty plaque
3.简单
How does montelukast work in asthma?
- AIt blocks leukotriene receptors in the airways
- BIt stimulates beta-2 receptors in the airways
- CIt kills bacteria in the bronchi
- DIt thins mucus by breaking down DNA
4.中等
A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?
- AOnly during meals
- BAt least 15 hours a day
- COnly when walking outside
- DAbout one hour each morning
5.中等
为什么吸氧流量低于约 5 L/min 时不应使用简易面罩?
- A低流量时弹性束带太松
- B低流量时面罩输送的氧气过多
- C低流量时氧气无法湿化
- D呼出的 CO₂ 会积聚在面罩内并被重复吸入
6.中等
Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?
- AIt makes inhaled corticosteroids work too strongly
- BIt raises the heart rate sharply during an acute asthma attack
- CIt thickens airway mucus by drying the airways
- DIt can cause bronchospasm by blocking beta-2 receptors
7.困难
A patient with pneumonia has a temperature of 39 °C, pain and a sinus tachycardia of 122/min. BP is normal. What is the best way to manage the heart rate?
- AGive a beta-blocker to bring the heart rate below 100/min
- BTreat the fever, pain and possible dehydration, then reassess
- CArrange urgent electrical cardioversion to restore a normal rate
- DGive IV adenosine
8.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"He is 72 and was admitted yesterday with community-acquired pneumonia."
- B"His heart rate is 124/min, his BP is 88/50 mmHg and he is confused."
- C"I think he may have sepsis; please review him within 30 minutes."
- D"I am calling about the patient in bed 6."
答案
- 1. C · 7.35–7.45
- 2. B · A clot or other mass that travels in the blood and lodges elsewhere
- 3. A · It blocks leukotriene receptors in the airways
- 4. B · At least 15 hours a day
- 5. D · 呼出的 CO₂ 会积聚在面罩内并被重复吸入
- 6. D · It can cause bronchospasm by blocking beta-2 receptors
- 7. B · Treat the fever, pain and possible dehydration, then reassess
- 8. C · "I think he may have sepsis; please review him within 30 minutes."
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