1.简单
Which three responses make up the Glasgow Coma Scale?
- AEye opening, verbal response and motor response
- BPupil size, pulse and blood pressure
- COrientation to time, place and person, plus memory
- DReflexes, muscle tone and sensation
2.简单
What is the most common cause of Cushing's syndrome?
- AA tumour of the adrenal medulla
- BA lack of ACTH from the pituitary gland
- CAn autoimmune attack on the adrenal glands
- DLong-term use of glucocorticoid medicines
3.简单
A patient with Bell's palsy cannot close one eye fully. Which advice is most important?
- AMassage the closed eyeball firmly several times every day
- BUse lubricating eye drops and protect or tape the eye at night
- CLeave the eye uncovered so air can dry it out
- DWear contact lenses to keep the eye moist
4.中等
Which approach helps most when talking to a patient with expressive aphasia?
- AAsk questions that can be answered with yes, no or a gesture
- BSpeak louder, because the patient cannot hear well
- CFinish their sentences quickly to save them effort
- DAvoid talking to them until their speech has recovered
5.中等
A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?
- ADiabetic ketoacidosis
- BHypoglycaemia unawareness
- CInsulin resistance
- DThe dawn phenomenon
6.中等
An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?
- AConfusion is the only symptom of a UTI at any age
- BUrinary infections always cause a high fever in older adults
- COlder adults often show infection as confusion
- DA UTI cannot occur in people over 80
7.困难
The nurse has four endocrine patients. Which one needs to be seen first?
- AA patient with Graves' disease asking about radioactive iodine
- BA patient after thyroidectomy with mild pain on swallowing
- CA patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
- DA patient with hypothyroidism who has been constipated for three days
8.困难
Why may HbA1c be unreliable in a patient with haemolytic anaemia or a recent large blood transfusion?
- AIt depends on how long red blood cells survive in the blood
- BBlood transfusions contain large amounts of glucose
- CAnaemia always makes the HbA1c very high
- DThe test only measures the glucose in the plasma, not in the cells
答案
- 1. A · Eye opening, verbal response and motor response
- 2. D · Long-term use of glucocorticoid medicines
- 3. B · Use lubricating eye drops and protect or tape the eye at night
- 4. A · Ask questions that can be answered with yes, no or a gesture
- 5. B · Hypoglycaemia unawareness
- 6. C · Older adults often show infection as confusion
- 7. C · A patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
- 8. A · It depends on how long red blood cells survive in the blood
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