1.简单
左甲状腺素通常应如何服用?
- A睡前,与钙片或铁片一起
- B空腹,在早餐前 30–60 分钟
- C与包括牛奶和咖啡的丰盛早餐一起
- D仅在感觉疲倦的日子服用
2.简单
Which hormones are released from the posterior pituitary gland?
- AADH (vasopressin) and oxytocin
- BGrowth hormone and prolactin
- CInsulin and cortisol
- DTSH and ACTH
3.简单
What is spinal shock?
- AA severe allergic reaction to spinal anaesthetic
- BA permanent loss of feeling in both hands only, from nerve damage
- CA temporary loss of reflexes and tone below a spinal cord injury
- DA very low blood pressure caused by blood loss after trauma
4.中等
Which measure best prevents catheter-associated urinary tract infection?
- AChange the catheter for a new one every day
- BDisconnect the bag regularly to empty it
- CRemove the catheter as soon as it is no longer needed
- DKeep the drainage bag above bladder level
5.中等
A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?
- AThe injury is incomplete, which suggests a better chance of recovery
- BThe injury is complete, and recovery is not possible
- CThe sensation is only a spinal reflex and has no real meaning for recovery
- DThe patient has an injury of the brain, not the cord
6.中等
An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?
- AAcute extradural haematoma
- BSubarachnoid haemorrhage from an aneurysm
- CChronic subdural haematoma
- DNormal ageing with mild memory loss
7.困难
A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?
- AThyroid function tests
- BBlood alcohol level
- CSerum ferritin
- DSerum amylase and lipase levels
8.困难
A patient with multiple sclerosis has had worse leg weakness for one day, together with a fever and burning on passing urine. What is the most likely explanation?
- AA side effect of physiotherapy
- BA true relapse that needs high-dose steroids
- CA change to progressive MS
- DA pseudo-relapse caused by infection
答案
- 1. B · 空腹,在早餐前 30–60 分钟
- 2. A · ADH (vasopressin) and oxytocin
- 3. C · A temporary loss of reflexes and tone below a spinal cord injury
- 4. C · Remove the catheter as soon as it is no longer needed
- 5. A · The injury is incomplete, which suggests a better chance of recovery
- 6. C · Chronic subdural haematoma
- 7. A · Thyroid function tests
- 8. D · A pseudo-relapse caused by infection
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