1.简单
Why should insulin injection sites be rotated?
- ATo prevent fatty lumps that absorb insulin unevenly
- BTo make the insulin work faster each time
- CTo avoid building up an immune response to the insulin
- DTo stop the insulin from spreading to other organs
2.简单
Which symptoms are typical of a prolactinoma in a woman?
- AVery dark skin creases and a craving for salt
- BWeight loss with heat intolerance and a fine tremor
- CMilky nipple discharge and irregular periods
- DKidney stones, bone pain and constipation
3.简单
In countries with enough iodine in the diet, what is the most common cause of hypothyroidism?
- AAutoimmune thyroiditis (Hashimoto's)
- BA pituitary tumour pressing on the gland
- CThyroid cancer
- DToo much iodine in salt
4.中等
A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?
- ALow blood glucose
- BA simple urinary tract infection
- CAcute pancreatitis
- DNormal nausea from the drug
5.中等
Why is good blood pressure control important in chronic kidney disease?
- AIt raises the haemoglobin level in the blood
- BIt lowers the blood glucose
- CIt cures chronic kidney disease
- DIt slows the decline in kidney function
6.中等
After a kidney biopsy, which observation is most important?
- AThe patient's appetite at the next meal
- BSigns of bleeding, such as haematuria and a rising pulse
- CThe colour of the patient's skin on the face
- DThe temperature every four hours only
7.困难
一名 DKA 患者正在好转:血糖 9 mmol/L,酮体 0.4 mmol/L,pH 7.36。患者能进食和饮水。应如何停用静脉胰岛素?
- A现在停用静脉胰岛素,明天开始皮下胰岛素
- B停用所有胰岛素,因为酮症酸中毒已完全缓解
- C仅在血糖升至 20 mmol/L 以上时才给皮下胰岛素
- D随餐给予皮下胰岛素,重叠一段时间后停止静脉输注
8.困难
A patient with a subarachnoid haemorrhage develops a low sodium. Why is fluid restriction usually avoided in this patient?
- AFluid restriction raises the risk of seizures
- BLow blood volume can worsen vasospasm and brain ischaemia
- CLow sodium in this condition always corrects itself
- DFluid restriction would cause the aneurysm to re-bleed
答案
- 1. A · To prevent fatty lumps that absorb insulin unevenly
- 2. C · Milky nipple discharge and irregular periods
- 3. A · Autoimmune thyroiditis (Hashimoto's)
- 4. C · Acute pancreatitis
- 5. D · It slows the decline in kidney function
- 6. B · Signs of bleeding, such as haematuria and a rising pulse
- 7. D · 随餐给予皮下胰岛素,重叠一段时间后停止静脉输注
- 8. B · Low blood volume can worsen vasospasm and brain ischaemia
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