1.简单
Which signs suggest a deep vein thrombosis in the leg?
- ASwelling, pain, warmth and redness of one calf
- BA painless rash on both shins
- CCold, pale feet on both sides with no pulse
- DItching between the toes of both feet
2.简单
What is a spinal anaesthetic?
- AA sedative tablet taken the night before
- BA general anaesthetic gas breathed through a mask
- CLocal anaesthetic cream rubbed on the skin
- DLocal anaesthetic injected into the CSF in the lower back
3.简单
Which factor most increases the risk of Clostridioides difficile infection?
- AA diet high in fibre
- BDrinking bottled water
- CRecent antibiotic treatment
- DRegular exercise
4.中等
Why do patients with major burns lose so much fluid in the first 24–48 hours?
- ALeaky capillaries let plasma move into the tissues
- BThe kidneys stop making urine completely
- CThe burned skin absorbs fluid from the air
- DPatients drink far too little in hospital in the first days
5.中等
What is a Curling's ulcer?
- AA burn on the sole of the foot
- BA pressure ulcer under a splint that has been left on too long
- CA stress ulcer of the stomach or duodenum after a major burn
- DA leg ulcer caused by venous disease after long bed rest
6.中等
Which advice is appropriate for a patient with a very low platelet count?
- AUse a razor blade for shaving every day
- BFloss hard every day to prevent gum disease
- CTake aspirin regularly for headaches
- DUse a soft toothbrush and an electric razor
7.困难
A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?
- A"I'll report heavy bleeding from my bottom."
- B"Some wind and bloating today is expected."
- C"I should report a fever or a swollen, painful abdomen."
- D"Severe abdominal pain is normal for a week afterwards."
8.困难
An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?
- ANormal stool pattern on opioids
- BAcute infective gastroenteritis
- CA flare of ulcerative colitis
- DFaecal impaction with overflow
答案
- 1. A · Swelling, pain, warmth and redness of one calf
- 2. D · Local anaesthetic injected into the CSF in the lower back
- 3. C · Recent antibiotic treatment
- 4. A · Leaky capillaries let plasma move into the tissues
- 5. C · A stress ulcer of the stomach or duodenum after a major burn
- 6. D · Use a soft toothbrush and an electric razor
- 7. D · "Severe abdominal pain is normal for a week afterwards."
- 8. D · Faecal impaction with overflow
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