1.简单
What is a positive Kernig's sign?
- ABending of the hips and knees when the neck is flexed
- BBruising behind the ear after a head injury
- CTwitching of the facial muscles when the cheek is tapped in front of the ear
- DPain and resistance when the knee is straightened with the hip flexed
2.简单
为什么卒中溶栓前必须先做头部 CT 扫描?
- A测量症状已开始多长时间
- B查看患者是否同时有颅骨骨折
- C检查患者以前是否发生过卒中
- D排除出血,因为溶栓会使出血加重
3.简单
What is the normal range for serum potassium in an adult?
- AAbout 6.0–7.5 mmol/L
- BAbout 1.5–2.5 mmol/L
- CAbout 135–145 mmol/L
- DAbout 3.5–5.0 mmol/L
4.中等
一名右半球卒中的患者忽略盘子左侧的食物。这称为什么?
- A表达性失语
- B吞咽困难
- C小脑共济失调
- D左侧忽略
5.中等
A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?
- ABlood alcohol level
- BThyroid antibodies
- CSerum amylase
- DVitamin B12 level
6.中等
Which picture fits Brown-Séquard syndrome?
- AWeakness of both arms with normal strength in the legs
- BParalysis of both legs, with normal sensation everywhere in the body
- CWeakness on the same side and loss of pain on the opposite side
- DLoss of all feeling but normal movement on both sides
7.困难
A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?
- AContact the prescriber or pharmacist about another route
- BGive the tablets with a sip of water anyway
- CGive double the dose once eating restarts
- DOmit the dose until the patient can swallow again
8.困难
Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?
- AAn allergic reaction to the needles
- BThe dialysate is too cold
- CFluid is being removed too quickly
- DNot enough fluid is being removed
答案
- 1. D · Pain and resistance when the knee is straightened with the hip flexed
- 2. D · 排除出血,因为溶栓会使出血加重
- 3. D · About 3.5–5.0 mmol/L
- 4. D · 左侧忽略
- 5. D · Vitamin B12 level
- 6. C · Weakness on the same side and loss of pain on the opposite side
- 7. A · Contact the prescriber or pharmacist about another route
- 8. C · Fluid is being removed too quickly
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