1.简单
What is an arteriovenous fistula?
- AA surgical join between an artery and a vein
- BA plastic tube placed in a large neck vein
- CA blood clot that blocks an artery in the arm
- DA catheter placed into the abdominal cavity
2.简单
How is chronic kidney disease defined?
- AAbnormal kidney function or structure for over 3 months
- BKidney pain lasting more than a week
- CAny single raised creatinine result
- DA sudden rise in creatinine over 48 hours after surgery
3.简单
Why can a new arteriovenous fistula not be used straight away?
- AThe artery must first grow back to its full size
- BThe vein needs weeks to enlarge and thicken
- CThe stitches must be removed first
- DThe arm must be in plaster for a month
4.中等
Why are patients on haemodialysis vaccinated against hepatitis B?
- AShared dialysis units carry a higher infection risk
- BHepatitis B vaccine improves the fistula flow
- CThe vaccine is needed to make the dialyser work
- DThe vaccine lowers the potassium level
5.中等
What is the dexamethasone suppression test used for?
- ATo diagnose diabetes insipidus
- BTo measure kidney function
- CTo help diagnose Cushing's syndrome
- DTo check thyroid function
6.中等
Which symptoms are typical of hypokalaemia?
- ATingling lips and facial twitching
- BMuscle weakness, cramps and palpitations
- CHeat intolerance and weight loss
- DExcess thirst and very high glucose
7.困难
A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?
- AEncourage the patient to walk more to improve their balance
- BSuspect phenytoin toxicity, hold the next dose and ask for a drug level
- CSuspect a new stroke and give aspirin straight away before any scan
- DGive the next phenytoin dose early to prevent a seizure
8.困难
After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?
- AEncourage the patient to strain to pass the clots
- BGive an antispasmodic and recheck in four hours
- CTurn off the irrigation and leave the catheter alone
- DSuspect a clot in the catheter and follow the protocol
答案
- 1. A · A surgical join between an artery and a vein
- 2. A · Abnormal kidney function or structure for over 3 months
- 3. B · The vein needs weeks to enlarge and thicken
- 4. A · Shared dialysis units carry a higher infection risk
- 5. C · To help diagnose Cushing's syndrome
- 6. B · Muscle weakness, cramps and palpitations
- 7. B · Suspect phenytoin toxicity, hold the next dose and ask for a drug level
- 8. D · Suspect a clot in the catheter and follow the protocol
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