1.简单
哪项表现是尿崩症的典型表现?
- A血糖高,尿中有大量葡萄糖
- B液体潴留伴血清钠偏低
- C少量高度浓缩的尿
- D大量稀释尿和极度口渴
2.简单
Which cranial nerves are mainly involved in the gag reflex?
- AOlfactory (I) and optic (II)
- BGlossopharyngeal (IX) and vagus (X)
- COculomotor (III) and abducens (VI)
- DTrigeminal (V) and facial (VII)
3.简单
Which organism causes most urinary tract infections?
- AEscherichia coli
- BCandida albicans
- CStreptococcus pneumoniae
- DStaphylococcus aureus
4.中等
一名 C6 水平急性脊髓损伤患者,哪种表现提示神经源性休克?
- A高血压、脉搏缓慢、剧烈头痛
- B血压正常、脉搏快、高热
- C低血压、脉搏快、皮肤冰冷湿冷
- D低血压、脉搏缓慢、皮肤温暖干燥
5.中等
Which action is part of an effective bowel programme after a spinal cord injury?
- AA routine at the same time each day, often after a meal
- BRestricting fluids to reduce the volume of stool
- CAvoiding fibre to prevent bloating
- DUsing strong laxatives only when the bowel has not opened for a week
6.中等
一名原发性肾上腺皮质功能减退的患者发热。关于类固醇替代治疗,通常的病日建议是什么?
- A在发热消退前停用类固醇
- B将剂量减半以减少副作用
- C增加糖皮质激素剂量,常为加倍
- D保持常规剂量,暂时避免多喝水
7.困难
A student has fever, a severe headache, a spreading non-blanching rash and a BP of 85/50 mmHg. A lumbar puncture is planned. What is the priority?
- AWait until after the lumbar puncture before giving antibiotics
- BGive paracetamol (acetaminophen) and recheck observations in an hour
- CArrange a CT scan of the head before any treatment
- DGive IV antibiotics at once and start sepsis treatment
8.困难
Which statement correctly distinguishes spinal shock from neurogenic shock?
- AThey are two names for exactly the same condition
- BNeurogenic shock is caused by blood loss; spinal shock is caused by infection
- CSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
- DSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
答案
- 1. D · 大量稀释尿和极度口渴
- 2. B · Glossopharyngeal (IX) and vagus (X)
- 3. A · Escherichia coli
- 4. D · 低血压、脉搏缓慢、皮肤温暖干燥
- 5. A · A routine at the same time each day, often after a meal
- 6. C · 增加糖皮质激素剂量,常为加倍
- 7. D · Give IV antibiotics at once and start sepsis treatment
- 8. D · Spinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
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