1.简单
How is diabetic retinopathy usually picked up early?
- ARegular eye screening with retinal photographs
- BChecking the pupils with a torch at every visit
- CWaiting until the patient notices blurred vision
- DA yearly blood test for HbA1c only
2.简单
What is an early sign of kidney damage from diabetes?
- ABlood in the urine that is visible
- BA very low blood urea level
- CSmall amounts of albumin in the urine
- DPain felt in both kidneys at night
3.简单
What causes myasthenia gravis?
- ACompression of a nerve root in the lower back
- BAntibodies against acetylcholine receptors on muscle
- CLoss of dopamine-producing cells in the midbrain
- DDamage to myelin in the brain and spinal cord
4.中等
A patient has just started levetiracetam. Which side effect should the nurse teach them to report?
- ASwelling and overgrowth of the gums around the teeth
- BA persistent dry cough at night
- CChanges in mood, such as irritability, low mood or anger
- DOrange discoloration of the urine
5.中等
An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?
- AUrinary infections always cause a high fever in older adults
- BA UTI cannot occur in people over 80
- COlder adults often show infection as confusion
- DConfusion is the only symptom of a UTI at any age
6.中等
Why is propranolol given to a patient with hyperthyroidism?
- ATo stop the thyroid gland from making any more hormones
- BTo destroy overactive thyroid tissue over a few weeks
- CTo replace the hormone lost from the thyroid gland
- DTo ease tremor and palpitations while other treatment starts
7.困难
A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?
- A3% saline
- B20% human albumin
- C5% glucose (dextrose, D5W)
- D8.4% sodium bicarbonate
8.困难
Six hours after a catheter is removed, a patient has not passed urine and feels uncomfortable. What should the nurse do?
- ATell the patient to drink two litres of water quickly
- BDo a bladder scan to check for retention
- CWait until the next morning before checking
- DPut the catheter back without assessing
答案
- 1. A · Regular eye screening with retinal photographs
- 2. C · Small amounts of albumin in the urine
- 3. B · Antibodies against acetylcholine receptors on muscle
- 4. C · Changes in mood, such as irritability, low mood or anger
- 5. C · Older adults often show infection as confusion
- 6. D · To ease tremor and palpitations while other treatment starts
- 7. C · 5% glucose (dextrose, D5W)
- 8. B · Do a bladder scan to check for retention
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