1.简单
Which head injury is classically linked to a lucid interval after a blow to the side of the head?
- ADiffuse axonal injury
- BChronic subdural haematoma
- CConcussion
- DExtradural haematoma
2.简单
在同一支注射器里混合短效胰岛素和中效(NPH,浑浊)胰岛素时,应先抽取哪种?
- A先抽浑浊的胰岛素,再抽澄清的短效胰岛素
- B先抽澄清的短效胰岛素,再抽浑浊的胰岛素
- C先在一个药瓶里混合,再一起抽取
- D顺序都可以,没有区别
3.简单
A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?
- AThe opposite leg is weaker than the arm
- BThe opposite arm and face are weaker than the leg
- CBoth legs are weak with normal arms
- DThe same side of the body is weak
4.中等
A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?
- AThe injury is incomplete, which suggests a better chance of recovery
- BThe sensation is only a spinal reflex and has no real meaning for recovery
- CThe injury is complete, and recovery is not possible
- DThe patient has an injury of the brain, not the cord
5.中等
A patient takes an SGLT2 inhibitor. Which sick-day advice is correct?
- AKeep taking it as normal, whatever the illness
- BPause the drug during illness with vomiting or poor intake
- CStop drinking fluids while taking the drug
- DDouble the dose during illness to control the glucose
6.中等
A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?
- AAn oral anticoagulant
- BA proton pump inhibitor
- CA beta-agonist inhaler
- DA loop diuretic
7.困难
一名 CKD 患者血红蛋白 92 g/L,开始使用促红细胞生成刺激剂(ESA)。护士应监测什么?
- A听力,因为 ESA 可损伤内耳
- B血糖,因为 ESA 常引起低血糖
- C肝酶,因为 ESA 对肝脏有毒性
- D血压和血红蛋白,因为超过目标会增加血栓风险
8.困难
The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?
- ABacterial meningitis from the procedure
- BPost-dural puncture headache
- CA subarachnoid haemorrhage
- DA migraine triggered by stress
答案
- 1. D · Extradural haematoma
- 2. B · 先抽澄清的短效胰岛素,再抽浑浊的胰岛素
- 3. A · The opposite leg is weaker than the arm
- 4. A · The injury is incomplete, which suggests a better chance of recovery
- 5. B · Pause the drug during illness with vomiting or poor intake
- 6. A · An oral anticoagulant
- 7. D · 血压和血红蛋白,因为超过目标会增加血栓风险
- 8. B · Post-dural puncture headache
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