1.简单
What is the main cause of the movement problems in Parkinson's disease?
- ALoss of dopamine-producing cells in the substantia nigra
- BAntibodies that attack acetylcholine receptors in muscle
- CLoss of the myelin sheath around nerves in the brain and spinal cord
- DToo much dopamine released in the basal ganglia
2.简单
什么是发作后期(postictal phase)?
- A持续超过五分钟的发作
- B发作开始前的先兆感觉
- C发作后的嗜睡和意识混乱阶段
- D强直–阵挛发作开始时的僵直阶段
3.简单
How does haemodialysis remove waste from the blood?
- AThe blood is spun so that waste sinks to the bottom
- BThe waste is removed through a tube in the bladder
- CWaste diffuses across a membrane into a cleaning fluid
- DA filter in the stomach absorbs waste from food
4.中等
A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?
- AIV thrombolysis within 4.5 hours
- BUrgent reversal of the anticoagulant effect
- CDoubling the warfarin dose to stabilise the INR
- DStarting aspirin to prevent further clots
5.中等
A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?
- ANormal progress of migraine
- BA brain tumour, which is almost certain
- CMedication overuse headache
- DAn allergy to the painkillers
6.中等
A patient's fistula starts to bleed at home after the needles were removed. What should they do first?
- APress firmly on the site with clean gauze
- BWait for the next dialysis session
- CApply a tight tourniquet above the fistula
- DRaise the arm and let it bleed freely
7.困难
一名患者的慢性低钠血症在 24 小时内从 115 纠正到 132 mmol/L。两天后他们出现言语含糊、吞咽困难和肢体无力。最可能的原因是什么?
- A摄入不足引起的低血糖
- B渗透性脱髓鞘综合征
- C与血钠无关的新发卒中
- D低钠血症的正常恢复
8.困难
Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?
- AA honeymoon phase, but insulin is still needed
- BThe insulin has gone off and should be replaced
- CThe diabetes has been cured, so insulin can stop
- DThe patient actually has type 2 diabetes
答案
- 1. A · Loss of dopamine-producing cells in the substantia nigra
- 2. C · 发作后的嗜睡和意识混乱阶段
- 3. C · Waste diffuses across a membrane into a cleaning fluid
- 4. B · Urgent reversal of the anticoagulant effect
- 5. C · Medication overuse headache
- 6. A · Press firmly on the site with clean gauze
- 7. B · 渗透性脱髓鞘综合征
- 8. A · A honeymoon phase, but insulin is still needed
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