1.简单
哪个水平的脊髓损伤最可能使膈肌停止工作?
- AL3 或以下的完全性损伤
- BC3 或以上的完全性损伤
- CT10 或以下的完全性损伤
- DS2 或以下的完全性损伤
2.简单
疑似脊柱损伤的患者应如何翻身?
- A由团队协作轴线翻身,保持脊柱对齐
- B让患者自己缓慢翻身
- C先转动肩部,再转动臀部
- D由一个人抬着手臂和腿翻身
3.简单
How is the pain of renal colic typically described?
- APain in the right lower abdomen that started near the navel
- BBurning pain in the chest after meals
- CSevere pain that comes in waves from the loin to the groin
- DA dull ache in the lower back after lifting
4.中等
A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?
- AA high-calorie diet with enough protein
- BA strict low-protein diet
- CA low-calorie diet to protect the heart
- DA diet very high in caffeine for energy
5.中等
How does the nurse test the facial nerve (VII)?
- AAsk them to raise the eyebrows, shut the eyes tightly and smile
- BTouch the forehead, cheek and chin with cotton wool
- CShine a light in each eye and check the pupil response
- DAsk the patient to stick out the tongue and move it from side to side
6.中等
Which finding most suggests fluid overload in a patient with chronic kidney disease?
- ADark yellow urine and thirst
- BA dry mouth and a low blood pressure when standing
- CA weight gain of 2 kg (4.4 lb) in two days with ankle swelling
- DA weight loss of 1 kg (2.2 lb) after a hot day
7.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?
- APossible postictal (Todd's) paresis, but a stroke must still be excluded
- BNormal postictal tiredness that needs no further assessment or imaging at all
- CA sign that the patient is pretending to be weak
- DCertainly a stroke, so the seizure can be ignored
8.困难
Graves 病患者术后体温 39.8 °C,心率 160 次/分,躁动并呕吐。哪一组治疗最恰当?
- A限制液体和使用袢利尿剂治疗心动过速
- B降温、β 受体阻滞剂、抗甲状腺药物,然后用碘和类固醇
- C用阿司匹林退热,一周内由全科医生复诊
- D左甲状腺素和保暖毯,以缓解寒战
答案
- 1. B · C3 或以上的完全性损伤
- 2. A · 由团队协作轴线翻身,保持脊柱对齐
- 3. C · Severe pain that comes in waves from the loin to the groin
- 4. A · A high-calorie diet with enough protein
- 5. A · Ask them to raise the eyebrows, shut the eyes tightly and smile
- 6. C · A weight gain of 2 kg (4.4 lb) in two days with ankle swelling
- 7. A · Possible postictal (Todd's) paresis, but a stroke must still be excluded
- 8. B · 降温、β 受体阻滞剂、抗甲状腺药物,然后用碘和类固醇
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