1.简单
What causes myasthenia gravis?
- ADamage to myelin in the brain and spinal cord
- BCompression of a nerve root in the lower back
- CLoss of dopamine-producing cells in the midbrain
- DAntibodies against acetylcholine receptors on muscle
2.简单
What is urge incontinence?
- ADribbling because the bladder never empties
- BLeaking because the toilet is too far away
- CA sudden, strong need to pass urine, followed by leaking
- DLeaking only when laughing, coughing or lifting heavy objects
3.简单
How should a peritoneal dialysis catheter exit site be cared for?
- ACovered with a tight bandage and not looked at for a week
- BKept clean and dry and checked daily for redness
- CCleaned with a strong bleach solution
- DSoaked in a hot bath every day
4.中等
A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?
- AHypoglycaemia unawareness
- BInsulin resistance
- CDiabetic ketoacidosis
- DThe dawn phenomenon
5.中等
A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?
- AMagnesium-containing antacids
- BAvoiding large meals late in the evening
- CRaising the head of the bed at night
- DEating smaller, more frequent meals
6.中等
After a change in the levothyroxine dose, when is the TSH usually rechecked?
- AAfter about 2 years of treatment
- BAfter 3 days
- CAfter 24 hours
- DAfter about 6–8 weeks
7.困难
A patient with CKD has a potassium of 6.5 mmol/L. Which medicine combination is the most likely contributor?
- ARamipril, spironolactone and trimethoprim
- BFurosemide, salbutamol and insulin
- CParacetamol (acetaminophen), omeprazole and senna
- DAmlodipine, simvastatin and aspirin
8.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
- BSuspect aspiration pneumonia, stop oral intake and escalate for review
- CGive paracetamol (acetaminophen) and continue the modified diet as before
- DRecord the findings and recheck them at the next routine observation
答案
- 1. D · Antibodies against acetylcholine receptors on muscle
- 2. C · A sudden, strong need to pass urine, followed by leaking
- 3. B · Kept clean and dry and checked daily for redness
- 4. A · Hypoglycaemia unawareness
- 5. A · Magnesium-containing antacids
- 6. D · After about 6–8 weeks
- 7. A · Ramipril, spironolactone and trimethoprim
- 8. B · Suspect aspiration pneumonia, stop oral intake and escalate for review
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