1.简单
Which feature is typical of an arterial leg ulcer?
- AA shallow, wet wound around the ankle with warm, swollen skin
- BA painful, punched-out wound on a cold, pale foot
- CA painless wound on the shin with normal pulses
- DA blister on the heel with plenty of hair growth
2.简单
哪两个原因导致大多数急性胰腺炎病例?
- A吸烟和肥胖
- B病毒性感冒和压力
- C胆结石和酒精
- D高纤维和脱水
3.简单
使用成人“九分法”,一条完整的手臂占体表面积的百分之多少?
- A36%
- B9%
- C18%
- D1%
4.中等
After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?
- AGas used during surgery irritating the diaphragm
- BAn allergy to the dressing on the wound
- CA heart attack during the operation
- DA dislocated shoulder from patient positioning
5.中等
麻醉期间,恶性高热最早的征象通常是什么?
- A呼气末 CO₂ 无法解释地升高
- B体温持续下降
- C心率减慢、血压降低
- D皮肤潮红,同时 CO₂ 水平下降
6.中等
What is the main treatment for a venous leg ulcer with an adequate arterial supply?
- AKeeping the leg hanging down all day
- BSurgery to amputate the limb
- CStrong oral antibiotics for all ulcers
- DCompression therapy
7.困难
A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?
- A"Fizzy drinks will help me bring up wind after meals."
- B"I'll eat soft, moist food at first and chew it well."
- C"I should eat smaller meals for a while after the operation."
- D"Some difficulty swallowing can happen in the early weeks."
8.困难
拔除硬膜外导管数小时后,一名使用抗凝药的患者出现背痛和逐渐加重的腿部无力。应怀疑什么?
- A尿路感染引起的背痛
- B硬膜外阻滞在一天内的正常消退
- C硬膜外血肿,需要紧急评估和 MRI
- D骶部压疮引起的牵涉性腿痛
答案
- 1. B · A painful, punched-out wound on a cold, pale foot
- 2. C · 胆结石和酒精
- 3. B · 9%
- 4. A · Gas used during surgery irritating the diaphragm
- 5. A · 呼气末 CO₂ 无法解释地升高
- 6. D · Compression therapy
- 7. A · "Fizzy drinks will help me bring up wind after meals."
- 8. C · 硬膜外血肿,需要紧急评估和 MRI
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