1.简单
What is the most common type of kidney stone?
- AUric acid
- BCalcium oxalate
- CStruvite
- DCystine
2.简单
为什么许多慢性肾脏病患者会发生贫血?
- A肾脏破坏红细胞
- B透析会从血液中清除铁
- C肾脏产生的促红细胞生成素减少
- D每天都有血液随尿丢失
3.简单
Which ECG change is typical of hyperkalaemia?
- AA shortened PR interval
- BTall, peaked T waves
- CFlattened T waves
- DProminent U waves
4.中等
Several hours after a carotid endarterectomy, which finding needs the most urgent action?
- AA blood pressure slightly above the baseline
- BMild pain at the incision site
- CA small amount of dried blood on the dressing
- DAn expanding neck swelling with noisy breathing
5.中等
A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?
- AThe kidneys are making too little urine
- BThe patient has drunk too little fluid
- CThe bladder is not emptying properly
- DThe patient is passing urine normally
6.中等
哪种电解质模式是 Addison 病的典型表现?
- A高钠低钾
- B高钙低磷
- C低钾低糖
- D低钠高钾
7.困难
A patient with AKI has a low urine sodium and concentrated urine. What does this suggest?
- ADiabetes insipidus, with too little ADH
- BA pre-renal cause, with kidneys holding salt and water
- CA post-renal blockage, with urine backed up
- DAcute tubular necrosis, with damaged and leaking tubules
8.困难
A patient with type 1 diabetes is vomiting at home. Their glucose is 12 mmol/L (216 mg/dL), and blood ketones are 3.5 mmol/L. What advice is correct?
- AStop insulin until the vomiting has settled
- BWait until the glucose is above 20 mmol/L (360 mg/dL)
- CSeek urgent hospital assessment for possible DKA
- DDrink less fluid to stop the vomiting
答案
- 1. B · Calcium oxalate
- 2. C · 肾脏产生的促红细胞生成素减少
- 3. B · Tall, peaked T waves
- 4. D · An expanding neck swelling with noisy breathing
- 5. C · The bladder is not emptying properly
- 6. D · 低钠高钾
- 7. B · A pre-renal cause, with kidneys holding salt and water
- 8. C · Seek urgent hospital assessment for possible DKA
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