1.简单
Which fasting plasma glucose level is used to diagnose diabetes?
- A7.0 mmol/L (126 mg/dL) or higher
- B4.0 mmol/L (72 mg/dL) or higher
- C15.0 mmol/L (270 mg/dL) or higher
- D5.5 mmol/L (99 mg/dL) or higher
2.简单
What is automated peritoneal dialysis?
- AExchanges done overnight by a machine
- BDialysis that needs no fluid at all
- CA single exchange done once a week
- DDialysis in hospital through an arm fistula
3.简单
关于短暂性脑缺血发作(TIA),下列哪项说法正确?
- A不需要随访,因为所有症状都消失了
- B症状持续数天,并留下持久的无力
- C由脑组织内的小出血引起
- D症状完全消退,但卒中风险高,因此需要紧急评估
4.中等
A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?
- AThrough the nose with a guidewire
- BThrough a fine-bore nasal tube
- CThrough the mouth (orogastric)
- DThrough the nose (nasogastric)
5.中等
Why are tacrolimus blood levels checked regularly?
- AToo high harms the kidney; too low risks rejection
- BThe levels show whether the patient has diabetes
- CThe drug only works if levels are as high as possible
- DThe levels show how much urine the kidney is making
6.中等
A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?
- AAvoid drinking fluids to reduce the vomiting
- BCheck glucose once a day only and rest in bed until better
- CKeep taking basal insulin and check glucose and ketones more often
- DStop all insulin until normal eating restarts
7.困难
A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?
- AGive the tablets with a sip of water anyway
- BContact the prescriber or pharmacist about another route
- CGive double the dose once eating restarts
- DOmit the dose until the patient can swallow again
8.困难
A patient on carbamazepine is admitted confused, with a sodium of 121 mmol/L. Which explanation is most likely?
- ACarbamazepine causes salt loss through severe diarrhoea
- BConfusion is a normal, expected effect of carbamazepine and is unrelated to sodium
- CThe low sodium proves the patient has stopped taking the drug
- DCarbamazepine can cause hyponatraemia through an SIADH-like effect
答案
- 1. A · 7.0 mmol/L (126 mg/dL) or higher
- 2. A · Exchanges done overnight by a machine
- 3. D · 症状完全消退,但卒中风险高,因此需要紧急评估
- 4. C · Through the mouth (orogastric)
- 5. A · Too high harms the kidney; too low risks rejection
- 6. C · Keep taking basal insulin and check glucose and ketones more often
- 7. B · Contact the prescriber or pharmacist about another route
- 8. D · Carbamazepine can cause hyponatraemia through an SIADH-like effect
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