1.简单
Why do patients with chronic kidney disease often develop bone disease?
- AThe kidneys cannot activate vitamin D or clear phosphate
- BPatients usually drink too much milk
- CThe kidneys release too much calcium into the bones
- DThe bones are attacked by antibodies made in the kidneys
2.简单
Post-streptococcal glomerulonephritis typically follows which event?
- AA kidney stone passed the week before
- BA long course of antibiotics for pneumonia
- CAn episode of bloody diarrhoea from food poisoning
- DA throat or skin infection a few weeks earlier
3.简单
Which is a common effect of long-term corticosteroid treatment?
- AA lower risk of infections
- BWeight loss and a slim face
- CThinning of the bones
- DLow blood glucose
4.中等
How does bladder training help urge incontinence?
- AThe time between voids is slowly increased
- BA catheter is used every night
- CThe patient drinks as little as possible
- DThe patient goes to the toilet every 15 minutes
5.中等
脑灌注压(CPP)如何计算?
- A平均动脉压除以心率
- B平均动脉压减去颅内压
- C收缩压加颅内压
- D舒张压减去中心静脉压
6.中等
A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?
- ACheck glucose before and after, and carry fast-acting carbohydrate
- BTake an extra dose of rapid-acting insulin before setting off
- CAvoid checking glucose until the ride is over
- DSkip breakfast so the exercise burns body fat
7.困难
On the first day after a kidney transplant, urine output suddenly falls from 200 mL/h to 10 mL/h. What should the nurse check first?
- AWhether the patient has eaten
- BThe patient's blood glucose level
- CThe patient's temperature and pulse
- DThat the catheter is not blocked or kinked
8.困难
A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?
- AA sign that the patient is pretending to be weak
- BCertainly a stroke, so the seizure can be ignored
- CNormal postictal tiredness that needs no further assessment or imaging at all
- DPossible postictal (Todd's) paresis, but a stroke must still be excluded
答案
- 1. A · The kidneys cannot activate vitamin D or clear phosphate
- 2. D · A throat or skin infection a few weeks earlier
- 3. C · Thinning of the bones
- 4. A · The time between voids is slowly increased
- 5. B · 平均动脉压减去颅内压
- 6. A · Check glucose before and after, and carry fast-acting carbohydrate
- 7. D · That the catheter is not blocked or kinked
- 8. D · Possible postictal (Todd's) paresis, but a stroke must still be excluded
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