1.简单
Which organism causes most urinary tract infections?
- AStaphylococcus aureus
- BStreptococcus pneumoniae
- CCandida albicans
- DEscherichia coli
2.简单
Why are patients with a spinal cord injury at very high risk of pressure injuries?
- ATheir blood sugar is always very high, which damages the skin
- BTheir skin is thinner than other people's skin
- CThey cannot feel or move the body below the injury
- DThey usually have a high fever for many weeks
3.简单
Which finding is a common reason for urgent dialysis?
- AA mildly raised creatinine with no symptoms
- BA haemoglobin of 105 g/L (10.5 g/dL) with mild tiredness
- CA single episode of itching
- DHyperkalaemia that does not respond to treatment
4.中等
一名 SIADH 患者血钠 126 mmol/L,症状轻微。通常的一线治疗是什么?
- A静脉输注 5% 葡萄糖
- B去氨加压素
- C限制液体
- D额外口服水
5.中等
A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?
- A"I will come back if I start vomiting again and again."
- B"A few drinks tonight will help me relax and sleep."
- C"I will return if my headache gets steadily worse."
- D"Someone will stay with me for the first night."
6.中等
一名患者醒来时出现卒中症状。他们 23:00 上床时一切正常,06:30 醒来。哪个时间被用作发病时间?
- A做 CT 扫描的时间
- B23:00,即最后一次已知正常的时间
- C06:30,即首次发现症状的时间
- D到达医院的时间
7.困难
Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38.2 °C (100.8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?
- AEncourage more fluids by mouth to treat the fever
- BRecord the findings and recheck them at the next routine observation
- CGive paracetamol (acetaminophen) and continue the modified diet as before
- DSuspect aspiration pneumonia, stop oral intake and escalate for review
8.困难
一名服用锂盐的患者多尿、口渴,使用去氨加压素后尿液仍不能浓缩。最可能的原因是什么?
- A锂引起的肾性尿崩症
- B头部受伤后的中枢性尿崩症
- C新发的 1 型糖尿病
- D锂引起的 SIADH
答案
- 1. D · Escherichia coli
- 2. C · They cannot feel or move the body below the injury
- 3. D · Hyperkalaemia that does not respond to treatment
- 4. C · 限制液体
- 5. B · "A few drinks tonight will help me relax and sleep."
- 6. B · 23:00,即最后一次已知正常的时间
- 7. D · Suspect aspiration pneumonia, stop oral intake and escalate for review
- 8. A · 锂引起的肾性尿崩症
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