1.简单
A patient with Bell's palsy cannot close one eye fully. Which advice is most important?
- AWear contact lenses to keep the eye moist
- BLeave the eye uncovered so air can dry it out
- CMassage the closed eyeball firmly several times every day
- DUse lubricating eye drops and protect or tape the eye at night
2.简单
How should a patient collect a midstream urine sample?
- ACollect urine over 24 hours into one bottle
- BCollect urine from the toilet bowl afterwards
- CCollect the very first drops into the container
- DLet the first part go in the toilet, then catch the middle
3.简单
What is the normal range for serum potassium in an adult?
- AAbout 1.5–2.5 mmol/L
- BAbout 6.0–7.5 mmol/L
- CAbout 135–145 mmol/L
- DAbout 3.5–5.0 mmol/L
4.中等
Which approach helps most when talking to a patient with expressive aphasia?
- AFinish their sentences quickly to save them effort
- BSpeak louder, because the patient cannot hear well
- CAvoid talking to them until their speech has recovered
- DAsk questions that can be answered with yes, no or a gesture
5.中等
血液透析的哪种并发症会引起头痛、恶心、烦躁,有时还有惊厥,尤其是在最初几次透析中?
- A细菌性腹膜炎
- B透析失衡综合征
- C透析液引起的低血糖
- D通过管路发生的静脉空气栓塞
6.中等
Why is nimodipine given to patients after a subarachnoid haemorrhage?
- ATo reduce brain injury from delayed vasospasm
- BTo raise the blood pressure and improve perfusion
- CTo stop seizures in the first few days
- DTo dissolve the blood clot around the aneurysm
7.困难
A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?
- AObstructive sleep apnoea
- BNormal snoring
- CAn anxiety disorder
- DNarcolepsy
8.困难
A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?
- ANo treatment, because the time for any reperfusion has passed
- BStart IV alteplase immediately without further imaging
- CGive aspirin and plan a review on the ward tomorrow
- DUrgent referral for assessment for mechanical thrombectomy
答案
- 1. D · Use lubricating eye drops and protect or tape the eye at night
- 2. D · Let the first part go in the toilet, then catch the middle
- 3. D · About 3.5–5.0 mmol/L
- 4. D · Ask questions that can be answered with yes, no or a gesture
- 5. B · 透析失衡综合征
- 6. A · To reduce brain injury from delayed vasospasm
- 7. A · Obstructive sleep apnoea
- 8. D · Urgent referral for assessment for mechanical thrombectomy
完整分步解答:请在 examproblems.com 上练习本主题。