1.简单
颅内压升高的患者通常采用哪种头部体位?
- A头低于身体(Trendelenburg 体位)
- B头部抬高约 30°,颈部保持伸直
- C平躺,头明显转向一侧
- D坐直,颈部前屈
2.简单
Which symptoms are typical of benign prostatic hyperplasia?
- AA weak stream, hesitancy and passing urine at night
- BBurning pain on passing urine with a high fever
- CPainless red urine with clots and weight loss
- DLeaking urine only when coughing or laughing
3.简单
哪一组症状是甲状腺功能减退的典型表现?
- A极度口渴和排大量尿
- B怕热、体重减轻、细微震颤和心悸
- C腹泻、焦虑、出汗和眼球突出
- D怕冷、疲倦、体重增加和便秘
4.中等
A stroke patient speaks fluently, but the words make little sense, and they do not follow simple instructions. Which type of aphasia is this?
- AExpressive (Broca's) aphasia
- BDysarthria from facial weakness
- CGlobal aphasia with no speech at all
- DReceptive (Wernicke's) aphasia
5.中等
为什么在急性肾损伤期间,或高危患者使用含碘造影剂前后,通常要暂停二甲双胍?
- A肾脏受损时它会引起高钾血症
- B与造影剂同用会引起严重低血糖
- C它可能蓄积,增加乳酸酸中毒的风险
- D它会阻断造影剂,使扫描无法读片
6.中等
A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?
- AIV thrombolysis within 4.5 hours
- BDoubling the warfarin dose to stabilise the INR
- CUrgent reversal of the anticoagulant effect
- DStarting aspirin to prevent further clots
7.困难
A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?
- AThe meter gives false results for several hours after every meal
- BThe patient is secretly eating sweets between meals
- CFood is absorbed slowly, so the insulin peaks before the glucose rises
- DThe insulin has gone off and needs replacing
8.困难
A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?
- AThe patient may not be absorbing their immunosuppressants
- BVomiting proves that rejection has already happened
- CThe tablets will make the vomiting stop
- DThe kidney will start to produce far too much urine
答案
- 1. B · 头部抬高约 30°,颈部保持伸直
- 2. A · A weak stream, hesitancy and passing urine at night
- 3. D · 怕冷、疲倦、体重增加和便秘
- 4. D · Receptive (Wernicke's) aphasia
- 5. C · 它可能蓄积,增加乳酸酸中毒的风险
- 6. C · Urgent reversal of the anticoagulant effect
- 7. C · Food is absorbed slowly, so the insulin peaks before the glucose rises
- 8. A · The patient may not be absorbing their immunosuppressants
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