1.简单
哪种类型的卒中最常见?
- A动脉瘤引起的蛛网膜下腔出血
- B动脉阻塞引起的缺血性卒中
- C脑静脉窦血栓形成
- D动脉破裂引起的出血性卒中
2.简单
Which symptoms are typical of uraemia in advanced kidney disease?
- AItching, nausea, tiredness and poor appetite
- BSevere flank pain with visible blood in the urine
- CExcess thirst with a very high glucose
- DHeat intolerance, tremor and weight loss
3.简单
What is sciatica?
- APain in the front of the knee caused by arthritis
- BPain that spreads down the back of the leg from an irritated nerve root
- CStiffness of the hips in the morning
- DCramp in the calf muscle after exercise, caused by low potassium levels
4.中等
A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?
- AVitamin C supplements and a high-meat diet
- BCalcium tablets and a low-fluid diet
- CAllopurinol and making the urine less acidic
- DRestricting fluids in the evening only
5.中等
A patient's fistula starts to bleed at home after the needles were removed. What should they do first?
- ARaise the arm and let it bleed freely
- BPress firmly on the site with clean gauze
- CWait for the next dialysis session
- DApply a tight tourniquet above the fistula
6.中等
An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?
- AUrinary infections always cause a high fever in older adults
- BA UTI cannot occur in people over 80
- CConfusion is the only symptom of a UTI at any age
- DOlder adults often show infection as confusion
7.困难
A patient with type 1 diabetes has a seizure on the ward. Their capillary glucose is 1.9 mmol/L (34 mg/dL). They cannot swallow. What is the most appropriate treatment?
- AIV glucose or IM glucagon, then recheck the glucose
- BGlucose gel squeezed into the mouth during the seizure
- CA rapid-acting insulin dose to stabilise the glucose
- DAn antiepileptic drug only, because seizures need seizure treatment
8.困难
An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?
- ANormal ageing that needs no review
- BA sign that the drug dose is too low
- CAnticholinergic side effects of the drug
- DA symptom of a high potassium from the drug
答案
- 1. B · 动脉阻塞引起的缺血性卒中
- 2. A · Itching, nausea, tiredness and poor appetite
- 3. B · Pain that spreads down the back of the leg from an irritated nerve root
- 4. C · Allopurinol and making the urine less acidic
- 5. B · Press firmly on the site with clean gauze
- 6. D · Older adults often show infection as confusion
- 7. A · IV glucose or IM glucagon, then recheck the glucose
- 8. C · Anticholinergic side effects of the drug
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