1.简单
Post-streptococcal glomerulonephritis typically follows which event?
- AA long course of antibiotics for pneumonia
- BA kidney stone passed the week before
- CA throat or skin infection a few weeks earlier
- DAn episode of bloody diarrhoea from food poisoning
2.简单
How is the pain of renal colic typically described?
- AA dull ache in the lower back after lifting
- BPain in the right lower abdomen that started near the navel
- CBurning pain in the chest after meals
- DSevere pain that comes in waves from the loin to the groin
3.简单
What is an early sign of kidney damage from diabetes?
- AA very low blood urea level
- BSmall amounts of albumin in the urine
- CPain felt in both kidneys at night
- DBlood in the urine that is visible
4.中等
In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?
- ACarbimazole has a higher risk of birth defects early on
- BPropylthiouracil works faster than any other drug
- CPropylthiouracil has no side effects at all
- DCarbimazole cannot cross into the mother's blood
5.中等
A patient takes levodopa for Parkinson's disease. Which teaching point is correct?
- ALarge high-protein meals can reduce how well the drug works
- BThe tablets work best taken with a large steak dinner
- CThe drug cures the disease if taken for a full year
- DStop the drug for a day each week to avoid tolerance
6.中等
A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?
- AVitamin B12 level
- BThyroid antibodies
- CSerum amylase
- DBlood alcohol level
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?
- ANormal snoring
- BNarcolepsy
- CObstructive sleep apnoea
- DAn anxiety disorder
8.困难
Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?
- ADehydration that needs only more oral fluids and rest
- BA side effect of sun exposure
- CAcute rejection, needing urgent transplant team review
- DA normal finding as the kidney settles in
答案
- 1. C · A throat or skin infection a few weeks earlier
- 2. D · Severe pain that comes in waves from the loin to the groin
- 3. B · Small amounts of albumin in the urine
- 4. A · Carbimazole has a higher risk of birth defects early on
- 5. A · Large high-protein meals can reduce how well the drug works
- 6. A · Vitamin B12 level
- 7. C · Obstructive sleep apnoea
- 8. C · Acute rejection, needing urgent transplant team review
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