1.简单
What is the main cause of the movement problems in Parkinson's disease?
- ALoss of the myelin sheath around nerves in the brain and spinal cord
- BLoss of dopamine-producing cells in the substantia nigra
- CToo much dopamine released in the basal ganglia
- DAntibodies that attack acetylcholine receptors in muscle
2.简单
What causes myasthenia gravis?
- ADamage to myelin in the brain and spinal cord
- BAntibodies against acetylcholine receptors on muscle
- CCompression of a nerve root in the lower back
- DLoss of dopamine-producing cells in the midbrain
3.简单
在同一支注射器里混合短效胰岛素和中效(NPH,浑浊)胰岛素时,应先抽取哪种?
- A顺序都可以,没有区别
- B先在一个药瓶里混合,再一起抽取
- C先抽浑浊的胰岛素,再抽澄清的短效胰岛素
- D先抽澄清的短效胰岛素,再抽浑浊的胰岛素
4.中等
Where is the zero point of an external ventricular drain usually levelled?
- AAt the mid-axillary line of the chest
- BAt the tragus of the ear
- CAt the level of the umbilicus
- DAt the top of the head
5.中等
垂体手术后,一名患者三小时内每小时排尿 400 mL,尿比重低。护士应怀疑什么?
- ASIADH
- B正常利尿
- C尿崩症
- D急性肾损伤
6.中等
Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?
- ABulk-forming laxatives
- BPenicillin antibiotics
- CProton pump inhibitors
- DSSRI antidepressants
7.困难
A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?
- ACauda equina syndrome
- BA complete lumbar cord injury
- CCentral cord syndrome
- DBrown-Séquard syndrome
8.困难
A patient has frothy urine and marked leg swelling. Serum albumin is 18 g/L (1.8 g/dL), and BP is normal. The urine shows heavy protein but little blood. What is most likely?
- AA urethral stricture
- BNephrotic syndrome
- CNephritic syndrome
- DAcute pyelonephritis
答案
- 1. B · Loss of dopamine-producing cells in the substantia nigra
- 2. B · Antibodies against acetylcholine receptors on muscle
- 3. D · 先抽澄清的短效胰岛素,再抽浑浊的胰岛素
- 4. B · At the tragus of the ear
- 5. C · 尿崩症
- 6. D · SSRI antidepressants
- 7. C · Central cord syndrome
- 8. B · Nephrotic syndrome
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