1.简单
After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?
- AA fracture of the base of the skull
- BA fractured jaw
- CA simple scalp laceration
- DAn injury to the outer ear only
2.简单
Which cranial nerves are mainly involved in the gag reflex?
- AOculomotor (III) and abducens (VI)
- BOlfactory (I) and optic (II)
- CGlossopharyngeal (IX) and vagus (X)
- DTrigeminal (V) and facial (VII)
3.简单
How do sulfonylureas such as gliclazide lower blood glucose?
- AThey replace insulin that the body lacks
- BThey make the kidneys pass more glucose
- CThey make the pancreas release more insulin
- DThey slow down the absorption of food
4.中等
A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?
- AStay in strict isolation in hospital for several months
- BStart breastfeeding again the next day
- CThere are no precautions, because the dose is tiny
- DLimit close contact with children and pregnant women for a time
5.中等
A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?
- ADrink it daily to protect the kidney
- BDrink it with each dose to improve the absorption
- CAvoid it, because it can raise the drug levels
- DIt has no effect on these drugs
6.中等
一名服用卡比马唑治疗甲状腺功能亢进的患者主诉咽痛和发热。护士应怎么做?
- A安排紧急全血细胞计数,排查粒细胞缺乏症
- B安慰患者,因为该药没有严重的血液副作用
- C将剂量加倍,以更快控制甲状腺
- D建议用盐水漱口,并继续服药一周
7.困难
Two days after an ileal conduit was formed, the stoma is dark purple and dry. What should the nurse do?
- AApply a warm compress to improve the colour of the stoma
- BReport it urgently, because the stoma may be ischaemic
- CRecord it as normal for a new stoma
- DChange the bag and check again next week
8.困难
An adult stares blankly for about a minute, smacks their lips and fumbles with their clothes. Afterwards they are confused for ten minutes and remember nothing. Which seizure type fits best?
- AFocal impaired awareness seizure
- BAbsence seizure
- CAtonic (drop) seizure with a fall
- DMyoclonic seizure
答案
- 1. A · A fracture of the base of the skull
- 2. C · Glossopharyngeal (IX) and vagus (X)
- 3. C · They make the pancreas release more insulin
- 4. D · Limit close contact with children and pregnant women for a time
- 5. C · Avoid it, because it can raise the drug levels
- 6. A · 安排紧急全血细胞计数,排查粒细胞缺乏症
- 7. B · Report it urgently, because the stoma may be ischaemic
- 8. A · Focal impaired awareness seizure
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