1.简单
How do sulfonylureas such as gliclazide lower blood glucose?
- AThey make the kidneys pass more glucose
- BThey make the pancreas release more insulin
- CThey slow down the absorption of food
- DThey replace insulin that the body lacks
2.简单
Which fasting plasma glucose level is used to diagnose diabetes?
- A7.0 mmol/L (126 mg/dL) or higher
- B4.0 mmol/L (72 mg/dL) or higher
- C5.5 mmol/L (99 mg/dL) or higher
- D15.0 mmol/L (270 mg/dL) or higher
3.简单
Which nerve cells are damaged in amyotrophic lateral sclerosis (motor neurone disease)?
- AThe nerves of the autonomic system only
- BUpper and lower motor neurons
- CSensory nerves in the skin only
- DThe optic nerves and retina
4.中等
In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?
- APropylthiouracil has no side effects at all
- BCarbimazole has a higher risk of birth defects early on
- CCarbimazole cannot cross into the mother's blood
- DPropylthiouracil works faster than any other drug
5.中等
A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?
- AThe patient is passing urine normally
- BThe patient has drunk too little fluid
- CThe bladder is not emptying properly
- DThe kidneys are making too little urine
6.中等
A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?
- AA diet very high in caffeine for energy
- BA low-calorie diet to protect the heart
- CA high-calorie diet with enough protein
- DA strict low-protein diet
7.困难
An adult stares blankly for about a minute, smacks their lips and fumbles with their clothes. Afterwards they are confused for ten minutes and remember nothing. Which seizure type fits best?
- AMyoclonic seizure
- BAbsence seizure
- CAtonic (drop) seizure with a fall
- DFocal impaired awareness seizure
8.困难
A patient is being assessed for brain death (brainstem death). Which condition must be excluded before testing?
- AEffects of sedative drugs or severe hypothermia
- BA haemoglobin of 110 g/L (11 g/dL)
- CA previous episode of migraine
- DA history of high blood pressure
答案
- 1. B · They make the pancreas release more insulin
- 2. A · 7.0 mmol/L (126 mg/dL) or higher
- 3. B · Upper and lower motor neurons
- 4. B · Carbimazole has a higher risk of birth defects early on
- 5. C · The bladder is not emptying properly
- 6. C · A high-calorie diet with enough protein
- 7. D · Focal impaired awareness seizure
- 8. A · Effects of sedative drugs or severe hypothermia
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