1.简单
What is spinal shock?
- AA severe allergic reaction to spinal anaesthetic
- BA permanent loss of feeling in both hands only, from nerve damage
- CA temporary loss of reflexes and tone below a spinal cord injury
- DA very low blood pressure caused by blood loss after trauma
2.简单
Which hormones are released from the posterior pituitary gland?
- AADH (vasopressin) and oxytocin
- BGrowth hormone and prolactin
- CInsulin and cortisol
- DTSH and ACTH
3.简单
What is the most common cause of Cushing's syndrome?
- AAn autoimmune attack on the adrenal glands
- BLong-term use of glucocorticoid medicines
- CA tumour of the adrenal medulla
- DA lack of ACTH from the pituitary gland
4.中等
What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?
- ATo measure the size of the bladder
- BTo treat a urinary infection after the operation
- CTo give the patient extra fluids
- DTo stop blood clots from blocking the catheter
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?
- AThe dawn phenomenon
- BHypoglycaemia unawareness
- CInsulin resistance
- DDiabetic ketoacidosis
6.中等
What is the dexamethasone suppression test used for?
- ATo help diagnose Cushing's syndrome
- BTo measure kidney function
- CTo check thyroid function
- DTo diagnose diabetes insipidus
7.困难
A patient with Guillain–Barré syndrome has a blood pressure that swings between 80/50 and 190/100 mmHg and a heart rate that changes suddenly. What does this suggest?
- AAnxiety that will settle with reassurance alone
- BA faulty blood pressure cuff that should be replaced and the readings ignored
- CAutonomic dysfunction, which needs continuous cardiac monitoring
- DA drug reaction that means all medicines must stop
8.困难
A patient's corrected calcium is 1.7 mmol/L (about 6.8 mg/dL). Which ECG change is most typical?
- AST elevation in all leads
- BTall, peaked T waves
- CA shortened QT interval
- DA prolonged QT interval
答案
- 1. C · A temporary loss of reflexes and tone below a spinal cord injury
- 2. A · ADH (vasopressin) and oxytocin
- 3. B · Long-term use of glucocorticoid medicines
- 4. D · To stop blood clots from blocking the catheter
- 5. B · Hypoglycaemia unawareness
- 6. A · To help diagnose Cushing's syndrome
- 7. C · Autonomic dysfunction, which needs continuous cardiac monitoring
- 8. D · A prolonged QT interval
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