1.简单
哪两个原因导致大多数急性胰腺炎病例?
- A病毒性感冒和压力
- B胆结石和酒精
- C高纤维和脱水
- D吸烟和肥胖
2.简单
How is parenteral nutrition given?
- AThrough a nasogastric tube into the stomach
- BBy mouth as a thick supplement drink
- CInto a vein, usually through a central line
- DInto the muscle of the thigh
3.简单
What is the usual adult reference range for platelets?
- AAbout 15–40 × 109/L
- BAbout 1500–4000 × 109/L
- CAbout 150–400 × 109/L
- DAbout 4–11 × 109/L
4.中等
Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?
- ANo food at all until the confusion settles
- BOnly clear fluids for several weeks
- CNormal protein and enough calories, with a late-evening snack
- DA very low-protein diet for the rest of their life to lower ammonia
5.中等
What is achalasia?
- AA tear at the junction of the oesophagus and the stomach
- BInflammation of the oesophagus caused by a fungal infection
- CWeakness of the lower oesophageal sphincter that allows reflux
- DFailure of the lower oesophageal sphincter to relax on swallowing
6.中等
Which drug class is used to reduce the risk of a first variceal bleed in cirrhosis?
- AThiazide diuretics
- BProton pump inhibitors
- CNon-selective beta-blockers
- DCalcium supplements
7.困难
A patient with suspected appendicitis says the pain suddenly eased, but an hour later has a temperature of 38.9 °C, a rigid abdomen and a pulse of 118/min. What does this suggest?
- ASimple constipation that needs a laxative
- BA side effect of the analgesia given
- CThe appendicitis has settled by itself
- DPerforation with peritonitis
8.困难
Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?
- ARedness on the backs of both hands, and very anxious
- BA blistered forearm burn and a small cut on the knee
- CCircumferential chest burns, with breathing becoming shallow and laboured
- DPartial-thickness burns to both legs, with pain rated 8/10
答案
- 1. B · 胆结石和酒精
- 2. C · Into a vein, usually through a central line
- 3. C · About 150–400 × 109/L
- 4. C · Normal protein and enough calories, with a late-evening snack
- 5. D · Failure of the lower oesophageal sphincter to relax on swallowing
- 6. C · Non-selective beta-blockers
- 7. D · Perforation with peritonitis
- 8. C · Circumferential chest burns, with breathing becoming shallow and laboured
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