1.简单
What is Trousseau's sign?
- ATwitching of the face when the cheek is tapped
- BBruising around the eyes after a head injury
- CHand spasm when a BP cuff is inflated on the arm
- DPain in the calf when the foot is bent upwards
2.简单
What is the most common cause of dementia?
- AParkinson's disease
- BHuntington's disease
- CAlzheimer's disease
- DMultiple sclerosis
3.简单
Which classic triad is described in renal cell carcinoma, although few patients have all three?
- ADysuria, frequency and urgency
- BPolyuria, thirst and weight loss with tiredness
- CFever, headache and a stiff neck
- DHaematuria, flank pain and a palpable mass
4.中等
关于甘精胰岛素等长效基础胰岛素,下列哪项说法正确?
- A注射后约 30 分钟有明显的作用高峰
- B与速效胰岛素混在同一支注射器中
- C在 1 型糖尿病中,即使患者不进食也要继续使用
- D仅在大餐后使用以覆盖碳水化合物
5.中等
After a change in the levothyroxine dose, when is the TSH usually rechecked?
- AAfter 3 days
- BAfter 24 hours
- CAfter about 6–8 weeks
- DAfter about 2 years of treatment
6.中等
Which statement about the PSA blood test is correct?
- AIt is only raised in women with bladder cancer
- BIt can be raised by benign problems as well as by cancer
- CA raised result always means prostate cancer
- DA normal result always rules out any prostate cancer
7.困难
A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?
- ASuspect a new stroke and give aspirin straight away before any scan
- BSuspect phenytoin toxicity, hold the next dose and ask for a drug level
- CGive the next phenytoin dose early to prevent a seizure
- DEncourage the patient to walk more to improve their balance
8.困难
一名重度颅脑损伤患者不睁眼,对疼痛的反应是双臂伸直并向内旋转、双腿伸直。这提示什么?
- A对疼痛刺激的正常回缩反应
- B伸展性(去大脑)姿势:严重的脑干损伤
- C屈曲性(去皮质)姿势,是轻度皮质损伤的征象
- D无需治疗就会自行停止的局灶性发作
答案
- 1. C · Hand spasm when a BP cuff is inflated on the arm
- 2. C · Alzheimer's disease
- 3. D · Haematuria, flank pain and a palpable mass
- 4. C · 在 1 型糖尿病中,即使患者不进食也要继续使用
- 5. C · After about 6–8 weeks
- 6. B · It can be raised by benign problems as well as by cancer
- 7. B · Suspect phenytoin toxicity, hold the next dose and ask for a drug level
- 8. B · 伸展性(去大脑)姿势:严重的脑干损伤
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