1.简单
下列哪项是急性肾损伤常见的肾前性原因?
- A肾结石阻塞双侧输尿管
- B庆大霉素对肾小管的损害
- C前列腺增大阻塞尿液流出
- D脱水或低血压
2.简单
What is the most common cause of intrinsic (renal) acute kidney injury in hospital?
- AKidney stones
- BAcute tubular necrosis
- CAn enlarged prostate
- DPolycystic kidney disease
3.简单
What does a complete spinal cord injury mean?
- AThe spinal cord has been cut into two separate pieces
- BNo movement or feeling below the injury, even in the sacral area
- CAll vertebrae in the neck are broken
- DThe patient can move but cannot feel below the injury
4.中等
Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?
- ABeta-blockers raise blood glucose, so hypos cannot happen
- BBeta-blockers can mask the tremor and racing heart of a hypo
- CBeta-blockers block the effect of all diabetes medicines
- DBeta-blockers make the patient sleep through every hypo
5.中等
Why should antiepileptic drugs not be stopped suddenly?
- AStopping them suddenly causes permanent damage to the liver and kidneys
- BSudden withdrawal can trigger seizures, including status epilepticus
- CThe drugs build up in the body and become toxic after stopping
- DStopping them suddenly causes a dangerous rise in blood pressure
6.中等
For which patient would the nurse question an order for pioglitazone?
- AA patient with hypothyroidism
- BA patient with heart failure
- CA patient with an allergy to latex
- DA patient with asthma
7.困难
A patient on carbamazepine is admitted confused, with a sodium of 121 mmol/L. Which explanation is most likely?
- AConfusion is a normal, expected effect of carbamazepine and is unrelated to sodium
- BCarbamazepine can cause hyponatraemia through an SIADH-like effect
- CCarbamazepine causes salt loss through severe diarrhoea
- DThe low sodium proves the patient has stopped taking the drug
8.困难
A nurse teaches a patient about peritoneal dialysis. Which statement shows a need for further teaching?
- A"I will weigh myself daily and record my fluid balance."
- B"If the fluid is cloudy, I'll see if it clears next time."
- C"I will wash my hands carefully before each exchange."
- D"I will check my exit site every day."
答案
- 1. D · 脱水或低血压
- 2. B · Acute tubular necrosis
- 3. B · No movement or feeling below the injury, even in the sacral area
- 4. B · Beta-blockers can mask the tremor and racing heart of a hypo
- 5. B · Sudden withdrawal can trigger seizures, including status epilepticus
- 6. B · A patient with heart failure
- 7. B · Carbamazepine can cause hyponatraemia through an SIADH-like effect
- 8. B · "If the fluid is cloudy, I'll see if it clears next time."
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