1.简单
What is sciatica?
- ACramp in the calf muscle after exercise, caused by low potassium levels
- BPain in the front of the knee caused by arthritis
- CStiffness of the hips in the morning
- DPain that spreads down the back of the leg from an irritated nerve root
2.简单
Which HbA1c result is commonly used as the threshold for diagnosing diabetes?
- A48 mmol/mol (6.5%) or higher
- B75 mmol/mol (9.0%) or higher
- C38 mmol/mol (5.6%) or higher
- D30 mmol/mol (4.9%) or higher
3.简单
How should a patient collect a midstream urine sample?
- ALet the first part go in the toilet, then catch the middle
- BCollect urine over 24 hours into one bottle
- CCollect the very first drops into the container
- DCollect urine from the toilet bowl afterwards
4.中等
Which lifestyle advice best helps a patient with epilepsy reduce their seizures?
- AKeep regular sleep and take every dose on time
- BDrink coffee in the evening to stay alert
- CSkip a dose on days without any warning signs
- DAvoid all physical exercise and stay indoors
5.中等
A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?
- ARestricting fluids in the evening only
- BVitamin C supplements and a high-meat diet
- CCalcium tablets and a low-fluid diet
- DAllopurinol and making the urine less acidic
6.中等
Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?
- ASpinal injuries always damage the large veins of the legs
- BParalysed leg muscles no longer pump blood back to the heart
- CThey usually take oestrogen as part of their treatment
- DThe injury makes the blood too thin to clot properly in the veins
7.困难
A patient with suspected meningitis has a GCS of 9 and pupils that have become unequal. A doctor plans an immediate lumbar puncture. What is the main concern?
- AA lumbar puncture would spread the infection to the blood
- BThere is no concern, because the lumbar puncture lowers pressure safely
- CThe patient is too confused to stay still, so it is not needed
- DRaised pressure in the skull, so the procedure could cause herniation
8.困难
一名血液透析患者问为什么透析间期要限制液体。哪项解释是正确的?
- A喝水会使透析从血液中清除过多的钾
- B过多的液体积聚,使血压升高,并在透析时引起呼吸困难和痉挛
- C限制液体主要是为了缩短在机器上的时间
- D额外的液体会削弱内瘘壁,使其更容易破裂
答案
- 1. D · Pain that spreads down the back of the leg from an irritated nerve root
- 2. A · 48 mmol/mol (6.5%) or higher
- 3. A · Let the first part go in the toilet, then catch the middle
- 4. A · Keep regular sleep and take every dose on time
- 5. D · Allopurinol and making the urine less acidic
- 6. B · Paralysed leg muscles no longer pump blood back to the heart
- 7. D · Raised pressure in the skull, so the procedure could cause herniation
- 8. B · 过多的液体积聚,使血压升高,并在透析时引起呼吸困难和痉挛
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