1.简单
What is slough in a wound?
- AA thick, hard black crust
- BPink, new skin at the wound edge
- CYellow, soft, stringy dead tissue
- DRed, healthy granulation tissue
2.简单
机械性小肠梗阻早期,哪种肠鸣音是典型的?
- A安静、正常的咕噜声
- B一开始就完全消失
- C高调的叮当声
- D胸膜摩擦音
3.简单
Which signs suggest a surgical site infection?
- AIncreasing pain, redness, swelling, heat and pus
- BMild itching as the wound heals
- CA dry wound edge with a thin scab
- DMild bruising around the wound that is fading a little each day
4.中等
Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?
- ANo food at all until the confusion settles
- BA very low-protein diet for the rest of their life to lower ammonia
- COnly clear fluids for several weeks
- DNormal protein and enough calories, with a late-evening snack
5.中等
What is a Curling's ulcer?
- AA leg ulcer caused by venous disease after long bed rest
- BA stress ulcer of the stomach or duodenum after a major burn
- CA pressure ulcer under a splint that has been left on too long
- DA burn on the sole of the foot
6.中等
What is achalasia?
- AWeakness of the lower oesophageal sphincter that allows reflux
- BFailure of the lower oesophageal sphincter to relax on swallowing
- CA tear at the junction of the oesophagus and the stomach
- DInflammation of the oesophagus caused by a fungal infection
7.困难
A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?
- AUse the highest NSAID dose to shorten the course
- BConsider an alternative; if an NSAID is needed, add a PPI
- CCombine two different NSAIDs at lower doses
- DTake the NSAID with a glass of milk instead of food
8.困难
A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?
- AReport it, as the regular background dose may need review
- BTell the patient to put up with the pain between doses
- CStop the breakthrough doses to reduce opioid use
- DGive all breakthrough doses at the same time
答案
- 1. C · Yellow, soft, stringy dead tissue
- 2. C · 高调的叮当声
- 3. A · Increasing pain, redness, swelling, heat and pus
- 4. D · Normal protein and enough calories, with a late-evening snack
- 5. B · A stress ulcer of the stomach or duodenum after a major burn
- 6. B · Failure of the lower oesophageal sphincter to relax on swallowing
- 7. B · Consider an alternative; if an NSAID is needed, add a PPI
- 8. A · Report it, as the regular background dose may need review
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