1.简单
A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?
- AThe same side of the body is weak
- BBoth legs are weak with normal arms
- CThe opposite arm and face are weaker than the leg
- DThe opposite leg is weaker than the arm
2.简单
Which symptoms are typical of uraemia in advanced kidney disease?
- AItching, nausea, tiredness and poor appetite
- BSevere flank pain with visible blood in the urine
- CHeat intolerance, tremor and weight loss
- DExcess thirst with a very high glucose
3.简单
Which is the most important modifiable risk factor for stroke?
- AHigh blood pressure
- BMale sex
- COlder age
- DFamily history of stroke
4.中等
After transsphenoidal pituitary surgery, which advice should the patient follow?
- ABlow the nose often to clear any clots
- BAvoid blowing the nose, straining and bending forward
- CDrink through a straw to keep the nose clean
- DLie completely flat for at least a week after surgery
5.中等
Why must Parkinson's medicines be given on time in hospital?
- AGiving them on time prevents the disease from getting worse
- BLate doses can soon cause stiffness, falls and poor swallowing
- CLate doses build up in the blood and cause an overdose
- DLate doses cause the patient to develop high blood glucose
6.中等
Which picture fits Brown-Séquard syndrome?
- ALoss of all feeling but normal movement on both sides
- BWeakness on the same side and loss of pain on the opposite side
- CWeakness of both arms with normal strength in the legs
- DParalysis of both legs, with normal sensation everywhere in the body
7.困难
一名急性缺血性卒中患者不适合溶栓。第 1 天血压为 190/100 mmHg,没有其他紧急情况。通常哪种做法是恰当的?
- A避免积极降压,遵循卒中团队的目标
- B让患者平躺并大量快速补液
- C用静脉药物迅速降至 110/70 mmHg
- D每 5 分钟喷一次硝酸酯喷雾,直到低于 120 mmHg
8.困难
During a water deprivation test for suspected diabetes insipidus, the patient loses more than 3% of body weight and becomes hypotensive. What should the nurse do?
- AContinue the test, because this result is expected
- BStop the test and inform the doctor
- CGive desmopressin without a prescription
- DGive the patient a large drink and then restart the test
答案
- 1. D · The opposite leg is weaker than the arm
- 2. A · Itching, nausea, tiredness and poor appetite
- 3. A · High blood pressure
- 4. B · Avoid blowing the nose, straining and bending forward
- 5. B · Late doses can soon cause stiffness, falls and poor swallowing
- 6. B · Weakness on the same side and loss of pain on the opposite side
- 7. A · 避免积极降压,遵循卒中团队的目标
- 8. B · Stop the test and inform the doctor
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