1.简单
What is the purpose of a steroid emergency card or medical alert ID?
- ATo warn staff that extra steroid is needed in illness or injury
- BTo let the patient buy steroids without a prescription
- CTo record the patient's blood glucose results
- DTo show that the patient is allergic to all types of steroid medicine
2.简单
How do sulfonylureas such as gliclazide lower blood glucose?
- AThey make the kidneys pass more glucose
- BThey slow down the absorption of food
- CThey replace insulin that the body lacks
- DThey make the pancreas release more insulin
3.简单
How is the pain of renal colic typically described?
- ABurning pain in the chest after meals
- BSevere pain that comes in waves from the loin to the groin
- CPain in the right lower abdomen that started near the navel
- DA dull ache in the lower back after lifting
4.中等
长期服用苯妥英的患者应被告知哪种副作用?
- A几乎所有患者都会头皮脱发
- B体重减轻和不耐热
- C牙龈增生,因此良好的口腔卫生很重要
- D逐渐发生的永久性听力丧失
5.中等
Which picture fits Brown-Séquard syndrome?
- ALoss of all feeling but normal movement on both sides
- BWeakness of both arms with normal strength in the legs
- CParalysis of both legs, with normal sensation everywhere in the body
- DWeakness on the same side and loss of pain on the opposite side
6.中等
Why might a patient bleed more from the needle sites straight after haemodialysis?
- AHeparin is often used to stop the circuit from clotting
- BThe fistula has been damaged and must be tied off
- CDialysis raises the blood pressure sharply for several hours
- DDialysis removes all the platelets from the blood
7.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?
- AA side effect of sun exposure
- BDehydration that needs only more oral fluids and rest
- CA normal finding as the kidney settles in
- DAcute rejection, needing urgent transplant team review
8.困难
A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?
- AIgnore it, because vomiting raises blood glucose
- BGive the evening long-acting insulin early to balance it
- CGive another insulin dose because the meal was lost
- DMonitor glucose closely and tell the prescriber about the hypo risk
答案
- 1. A · To warn staff that extra steroid is needed in illness or injury
- 2. D · They make the pancreas release more insulin
- 3. B · Severe pain that comes in waves from the loin to the groin
- 4. C · 牙龈增生,因此良好的口腔卫生很重要
- 5. D · Weakness on the same side and loss of pain on the opposite side
- 6. A · Heparin is often used to stop the circuit from clotting
- 7. D · Acute rejection, needing urgent transplant team review
- 8. D · Monitor glucose closely and tell the prescriber about the hypo risk
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