1.简单
What is the most common cause of a high sodium in a frail older adult?
- ANot drinking enough water
- BTaking too much insulin
- CEating too much fruit
- DDrinking too much water
2.简单
Which statement about metformin is correct?
- AIt is the usual first treatment for type 1 diabetes in adults
- BUsed on its own, it rarely causes hypoglycaemia
- CIt is given by injection into the abdomen once a week
- DIt works by making the pancreas release a lot more insulin
3.简单
为什么卒中溶栓前必须先做头部 CT 扫描?
- A排除出血,因为溶栓会使出血加重
- B检查患者以前是否发生过卒中
- C查看患者是否同时有颅骨骨折
- D测量症状已开始多长时间
4.中等
A man starts finasteride for an enlarged prostate. Which statement is correct?
- AIt takes months to work; pregnant women must not handle broken tablets
- BIt is used only for a few days at a time
- CIt works within hours by relaxing the bladder muscle
- DIt lowers the blood pressure, so dizziness is very common
5.中等
After pressing the plunger of an insulin pen, what should the patient do?
- APull the needle out at once and rub the site firmly
- BLeave the needle on the pen for the next injection
- CInject a second dose straight away to be sure
- DKeep the needle in the skin for about 10 seconds
6.中等
A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?
- AVitamin B12 level
- BBlood alcohol level
- CSerum amylase
- DThyroid antibodies
7.困难
A patient has had a high sodium of 160 mmol/L for several days. Why must it be corrected slowly?
- ARapid correction causes kidney stones
- BThe sodium will rise again if corrected quickly
- CRapid correction can cause brain swelling
- DRapid correction raises the blood glucose
8.困难
A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?
- ADouble the insulin dose because the lump blocks the insulin
- BUse healthy sites and check glucose often, as less insulin may be needed
- CMassage the lump firmly after every injection
- DKeep injecting into the lump, because it hurts less there
答案
- 1. A · Not drinking enough water
- 2. B · Used on its own, it rarely causes hypoglycaemia
- 3. A · 排除出血,因为溶栓会使出血加重
- 4. A · It takes months to work; pregnant women must not handle broken tablets
- 5. D · Keep the needle in the skin for about 10 seconds
- 6. A · Vitamin B12 level
- 7. C · Rapid correction can cause brain swelling
- 8. B · Use healthy sites and check glucose often, as less insulin may be needed
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