1.简单
What is the most common type of kidney stone?
- ACalcium oxalate
- BUric acid
- CStruvite
- DCystine
2.简单
下列哪项是急性肾损伤常见的肾前性原因?
- A前列腺增大阻塞尿液流出
- B庆大霉素对肾小管的损害
- C肾结石阻塞双侧输尿管
- D脱水或低血压
3.简单
Which symptoms are typical of cystitis (a bladder infection)?
- ASwelling of the ankles and frothy urine
- BHigh fever, shaking rigors and pain in the loin
- CBurning on passing urine, frequency and urgency
- DPainless red urine with clots
4.中等
An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?
- AConfusion is the only symptom of a UTI at any age
- BUrinary infections always cause a high fever in older adults
- CA UTI cannot occur in people over 80
- DOlder adults often show infection as confusion
5.中等
Before checking a capillary glucose, why should the patient wash their hands with soap and water?
- ASoap makes the blood flow faster from the finger
- BWashing lowers the glucose in the blood
- CSugar on the skin can give a falsely high reading
- DWashing prevents all infection from the lancet
6.中等
A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?
- ADrink it daily to protect the kidney
- BDrink it with each dose to improve the absorption
- CIt has no effect on these drugs
- DAvoid it, because it can raise the drug levels
7.困难
A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6.0 mmol/L. What is the priority?
- AOral hydrocortisone and an antiemetic by mouth
- BA fluid restriction for the low sodium
- CIV potassium to correct the electrolytes
- DIV hydrocortisone straight away, plus IV fluids
8.困难
A patient with long-standing diabetes suddenly has many new floaters and painless loss of vision in one eye. What is most likely, and what is needed?
- ANormal ageing of the lens, needing new glasses
- BDry eyes, needing lubricating drops
- CA migraine aura, needing pain relief
- DA bleed into the eye from retinopathy, needing urgent review
答案
- 1. A · Calcium oxalate
- 2. D · 脱水或低血压
- 3. C · Burning on passing urine, frequency and urgency
- 4. D · Older adults often show infection as confusion
- 5. C · Sugar on the skin can give a falsely high reading
- 6. D · Avoid it, because it can raise the drug levels
- 7. D · IV hydrocortisone straight away, plus IV fluids
- 8. D · A bleed into the eye from retinopathy, needing urgent review
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