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護(hù)理內(nèi)科習(xí)題(Nursinginternalmedicineexercises)
1.respiratorysoundsinthebronchiareseen:
A.emphysema
B.pneumonia
C.pleuraleffusion
D.spontaneouspneumothorax
E.bronchialasthma
2.severehematemesispatientsshouldbefastingtemporarily:
A.2to4h
B.4to6H
C.6to8h
D.1to2H
E.8to24h
3.patientswithacutepleurisyoftentake:
PassivepositionofA.
B.hasalateraldecubitusposition
C.supineposition
D.sittingposition
E.forwardsittingposition
4.bywhichevaluation,thepatientneedssputumaspiration:
A.consciousness
B.breathsounds
C..
D.heartrate
E.isdifficulttobreathe
5.theamountofgastriclavagefluidduringgastriclavagein
patientswithoraltoxicantwas0:
A.150-200ml
B.200-300ml
C.400ml
D.500ml
E.500-1000ml
6.hyperactivebowelsoundsperminutecanbeheardatleast:
A.2times
B.6times
C.4times
D.8times
E.10times
7.episodesofexpiratorydyspneaarepresent:
A.atelectasis
B.pleuraladhesion
C.bronchiectasis
D.bronchialforeignbody
E.bronchialasthma
8.whichofthefollowingstatementsistrueaboutbody
temperature?:
A.bodytemperatureislowerthan36.5degrees,called
hypothermia
B.patientswithhyperthyroidismoftenhavehypothermia
C.bodytemperatureishigherthan37.5degrees,calledfever
D.asepticinflammationusuallyhasnofever
E.patientswithchronicwastingdiseaseoftenhaveelevated
bodytemperature
9.gastriccancerispronetolymphnodemetastasis:
A.cervicallymphnodes
B.leftaxillarylymphnodes
C.leftsupraclavicularlymphnodes
D.leftsubclavianlymphnode
E.leftinguinallymphnodes
10.adultpulsepressuregreaterthan5kPa(37.5mmHg)canbe
seenin:
A.hypothyroidism
B.aorticinsufficiency
C.pericardialeffusion
D.severemitralstenosis
E.aorticstenosis
11.thephenomenonofirritatinggarlicsmellinbreathingis
observed:
A.bronchiectasis
B.lungabscess
C.uremia
D.ketoacidosis
E.organophosphoruspesticidepoisoning
12.thephenomenonofobviousdecreaseordisappearanceof
pulsewheninhaling:
A.aorticinsufficiency
B.pericardialeffusion
C.rightheartfailure
D.coronaryheartdisease
E.atrioventricularblock
13.whitebloodcellcount,neutrophils(includingthenucleus,
lobulatednucleus,normaloccupation):
A.0.5%I1%
B.50%to75%
C.3%to8%
D.80%I85%
E.20%I40%
14.thenormalreferencerangeofhemoglobinforadultmales
is:
A.100to140g/L
B.140to170g/L
C.110-150g/L
D.170to200g/L
E.120to160g/L
15.ESRisadiseasewhichhasnoobviousincrease:
A.anginapectoris
LatestageofB.malignanttumor
C.acutemyocardialinfarction
D.activetuberculosis
E.chronicnephritis
16.preservativesinurinequantitativespecimenbottlesare:
A.toluene5ml
B.dilutehydrochloricacid5ml
C.formaldehyde5ml
D.carbonate5ml
E.concentratedhydrochloricacid5ml
Urinecolorofsoysaucein17:
A.obstructivejaundice
B.acutehemolysis
C.hepaticcelljaundice
D.renaltumor
E.advancedfilariasis
18.thefollowingTwavesareabnormal:
A.Ileadupright
B.V5leadinversion
C.aVRleadinversion
D.aVRleadflat
BidirectionalE.VIlead
19.modernequipmentoperationroomdependsmainlyonair
purification:
A.ozonedisinfection
B.laminarflowdeviceandhighefficiencyairfilter
C.lacticaciddisinfection
D.ultravioletdisinfection
E.formaldehydedisinfection
20.thedailylossofwaterlossofnormalpeoplewas:
A.200ml
B.850ml
C.400ml
D.1000ml
E.1200ml
21.thebasicpathologicalchangesofvarioustypesofshock
are:
A.bloodpressuredrops
DecreaseofcentralvenouspressureinB.
C.pulsepressurereduction
D.decreasedurineoutput
E.effectivecirculatorybloodloss
22.inordertopreventacuterenalfailure,whichkindof
traumapatientsshouldinputalkalinesolutiontoalkaline
urine:
A.forearmlaceration
B.renalcontusion
C.thighcrushinjury
D.ribfracture
E.avulsioninjuryofscalp
23.themostcommonsecondarypathologicalchangesafter
cardiacarrestare:
A.pulmonaryedema
B.acuterenalfailure
C.acutehepaticnecrosis
D.brainhypoxiaandbrainedema
E.hypoxicinjuryofmyocardium
24.thequickestwayfortheorganismtoregulateacid-base
balanceis:
RegulationofA.kidney
B.bloodbuffersystem
RegulationoflunginC.
D.nerveendocrineregulation
E.extracellularionexchange
25.whichofthefollowingisnotanopeninjury?:
A.scratch
B.contusion
C.stab
D.cuts
E.firearmwound
26..Themaincauseofthyroidcrisisis:
ExcessivecompressionofthyroidglandduringA.operation
B.preoperativepreparationfailedtomeettherequirements
C.excisionofglandsisinsufficient
D.resectionoftheglandistoomuch
ExcessivetensionduringE.operation
27.whichisthemostimportanthealthguidancefordischarged
patientsafterbreastcancersurgery?:
A.continuedfunctionalexercise
B.strengthensnutrition
C.oftenself-examination
D.takespartinsportsactivities
E.avoidpregnancywithinfiveyears
28.themostsusceptibletothedevelopmentofbreastcancer
is:
A.lung
B.liver
C.axillarylymphnodes
D.subclavianlymphnode
E.lymphnodesbesidesternum
29.whichorgandamageisthemainclinicalmanifestationof
peritonitis?:
A.liver
B.spleen
C.pancreas
D.intestine
E.kidney
30.themaindifferencebetweenprimaryperitonitisand
secondaryperitonitisisthat:
A.isthereaprimarylesionintheabdominalcavity?
B.abdominalpain
C.abdominalmuscletension
ThespeciesofD.pathogenicbacteria
DoesE.havevisceraldamage?
31.whatisthemostimportantcareduringthenon-surgical
treatmentofperforatedpepticulcer?:
A.semirecumbentposition
B.infusion
C.gastrointestinaldecompression
D.antibiotics
E.dowellpreoperativepreparation
32.thepredilectionsitesofgastricandduodenalulcer
complicatedwithhemorrhageare:
A.twelveorgreatercurvatureofthestomach
B.lessercurvatureofstomachorposteriorwallofduodenum
Thefrontwallofthegreatercurvatureofthestomachor
duodenumC.
D.lessercurvatureoranteriorwallofduodenum
E.gastricbody
33.themechanismofabdominalpainoriginatedfromthe
umbilicusorupperabdomeninacuteappendicitisisthe
mechanism:
A.gastrointestinaldysfunction
B.visceralnervereflex
C.somaticnervereflex
ThepositionofD.appendixisnotfixed
E.appendixwallspasm
34.intestinalobstructioncausedbyperitonitisbelongsto:
A.mechanicalstrangulatedintestinalobstruction
B.mechanicalsimpleintestinalobstruction
C.paralyticileus
D.intestinalobstructionduetoblood
E.spasticileus
Whatkindofanaldiseasescanbecausedby35.portal
hypertension?:
A.analfissure
B.analfistula
C.rectalprolapse
D.hemorrhoids
E.rectalpolyps
36.themostimportantnursingproblemforpatientswithacute
abdomenis:
A.istoohigh
B.malnutrition
PotentialcomplicationsofC.:shock
PotentialoralmucosallesionsofD.
E.anxiety
37.themostcommonlyusedmethodforfracturetreatmentis:
OpenreductionandinternalfixationofA.
ManualreductionandexternalfixationofB.
C.percutaneousexternalfixation
ManipulativereductionandinternalfixationwithD.
E.continuoustraction
Thecharacteristicmanifestationofdislocationofthe38.
jointis:
A.swelling
B.bloodstasis
C.elasticfixation
D.pain
E.activityLimited
39.thereliablewaytodiagnosegastriccanceris:
A.gastrointestinalbariummeal
B.positivefecaloccultbloodtest
C.gastricu1trasonography
D.fibergastroscope
E.gastricCTexamination
40.themainsymptomsofsmal1intestinalobstructionare
abdominalpain:
A.abdominaldistensionisobvious
B.frequentvomiting
C.isapercussiondrumsound
D.stopsdefecationandexhaust
E.abdominalmass
Forty-one
What'swrongwithcervicalcancer?:
A.occursatthejunctionofsquamouscolumnarepitheliumof
thecervix
B.andprolificcervicalerosiononearlymarriageand
childbearing
SquamouscellcarcinomaisthemostcommonC.
D.requiresatleast2years,1cancerscreening
E.surgeryissuitableforinsitucarcinomaandearlyinvasive
carcinoma
42.whichofthefollowinghasnothingtodowithplacingIUD?:
TheamountofA.increased
B.weightgain
C.backache
D.uterineperforation
E.infection
43.theimportantsignoffemalepubertybegins:
A.hasahighpitch
B.breastfullness
SubcutaneousfatgaininC.
D.pubichair,armpithairformation
E.menarche
44.aboutsenilevaginitismistakeissaid:
A.vaginalepitheliumisthinandglycogencontentdecreases
B.isusuallyamixedinfectionofpurulentbacteria
C.canrinsethevaginawithalkalinesolution
TopicaltreatmentofD.withdiethylstilbestrol
IfE.hasbloodyleucorrhea,itshouldbecheckedforcancer
prevention
45.thewrongstatementaboutprimarydysmenorrheaisthat:
A.ismorecommoninunmarriedornonpregnantwomen
B.hoursbeforemenstruationoccurs
C.oftenoccurs6to12monthsaftermenarche
D.withpalecomplexionandcoldsweat
TherearemanyorganiclesionsinE.genitalorgans
46.whichofthefollowingconformstothebehavioral
developmentof3monthchildren?:
A.willsit
B.willclimb
C.canstandupunderyourarms
D.holdsthetoywithhishand
E.canstandupstraight
47.infantswithpathologicalcryingaremorecommon:
A.abdominalpain,headache
B.intracranialhemorrhageinneonates
C.otitismedia
D.skindisease
E.starvation
48.ofthenewbornscanbeobtainedfromthemother,butthe
antibodiesgraduallydisappearedafter3to5months:
A.immunecells
B.complement
C.IgG
D.IgM
E.IgA
49.commonreasonsintheone-childiscausedbyanorexia:
A.irondeficiencyanemia
B.infectioushepatitis
C.gastroenteritis
D.intestinalmalformation
E.mentalfactors
50.add4scoopsofwholemilkpowdertomilkandaddwater:
A.4spoon
B.8spoon
C.12spoon
D.16spoon
E.20spoon
51.simplelong-termfeedingchildrenpronetomilkanemia:
A.leukemia
B.irondeficiencyanemia
C.hemolyticanemia
D.aplasticanemia
E.nutritionalmegaloblasticanemia
52.outpatientdepartmentofPediatricssettingsshouldnot
include:
A.preconsultingroom
B.waitingroom
C.isolationconsultingroom
D.clinic
E.pantry
53.oralliquidisoftenusedtorinsethrush:
A.3%hydrogenperoxidesolution
B.0.1%rivanolsolution
C.2%sodiumbicarbonatesolution
D.normalsaline
E.warmboiledwater
54.thetypicalsymptomsofneonatalintracranialhemorrhage
are:
A.dyspneacannotsuck
B.firstappearsexcitatoryandtheninhibits
C.systemicscleroderma
D.bodytemperaturedoesnotrise
E.breastsuppression
55.themaincauseofricketsis:
A.lacksvitaminA
B.thyroxinedeficiency
CalciumdeficiencyinC.food
D.lacksvitaminD
InappropriateproportionofcalciumandphosphorusinE.food
56.apatienteatingskinwithhalfahouraftertheoccurrence
ofnausea,vomiting,abdominalpainandothertoxicsymptoms.
Whichpesticidesdoyouconsidertheleastlikelytocause
poisoning?:
A.dichlorvos
PhosphorusuptakebyB.
ParathionC.
D.dimethoate
E.phorate
57.patientswithketoacidosisaftertreatment,consciousness
recoverytimesuddenlyfeelpalpitations,hunger,sweating,
andthenunconscious,shouldimmediately:
A.increasesinsulindose
B.plusglibenclamide
C.intravenousdripofsodiumbicarbonate
D.wasintravenouslyinjectedwith50%glucose
ApplicationofrespiratorystimulantinE.
58.someaplasticanemiapatientswithhighfever,accompanied
byconvulsions,atthistime,themostappropriatecooling
measuresare:
A.warmwaterbath
B.alcoholbath
C.icewaterenema
D.oralantipyretic
E.
Icepacksareplacedattheheadandatthegreatvessels
59.Chengurinebacterialcultureanddrugsensitivitytestof
nursedoctorYuzuomiddle,ascollectingspecimensfortheir
guidance,whichiswrong:
A.firstcleansthevulvaandtheurethralorificewith
benzalkoniumbromide
B.discardsabout30-60mlofthefirstexcretedurine
C.directurineintosterilecontainers
D.stoppedcollectingurinebeforeemptyingbladder
E.specimensweresubmittedimmediately
60.,apregnantwoman,firstfetuses,39weeksafterpregnancy
tohospitalexamination,thedoctortoldthethreatenedlabor,
admittedtohospital,themostreliablebasisis:
A.increaseduterinecontractions
B.fetaldepression
C.red
D.upperabdominalcomfort
E.frequentmicturition
61.primipara,birth,postpartumfourteenthdays,whichisnot
normaluterineinvolution:
A.touchthefundusoftheuppersymphysispubis
B.whitelochia
C.internalcervicalclosure
D.theexternalorificeofcervixisa"shape”
E.endometriumhasnotbeenfullyrepaired
62.ofthechildren,1andahalfyearsold,wereadmittedto
thehospitalduetoventricularseptaldefect.Physical
examination:lucid,twolittlebottomoflungrales,heartrate
180/min,liverisdown3.5cm,thechildrenmaymerge:
A.complicatedwithpulmonaryedema
B.complicatedwithheartfailure
C.combinedwithcirculatoryfailure
D.complicatedwithrenalfailure
E.complicatedwithencephalopathy
63.children,4yearsold,admittedtohospitalduetoacute
nephritis.Thismorning,suddendyspnea,inabilitytolieflat,
cough,cough,sputum,urinevolumereduction,thisisaserious
caseofchildren:
A.pneumonia
B.pleuraleffusion
C.hypertensiveencephalopathy
SeverecirculatorycongestioninD.
E.acuterenalfailure
64.ofthechildren,7daysafterbirth,breastfeeding.The
skinwasyellowandserumbilirubinwas153mol/1.Themeasures
tobetakenare:
A.bluelightirradiation
B.oralprednisone
C.readytoexchangeblood
D.plasmatransfusion
E.doesn'thavetodealwithit
Two,thefollowingprovidesseveralcases,eachcasecontains
anumberofquestions.Accordingtotheinformationprovided
bytheanswer,choosethebestanswerinthefivealternative
answers:A,B,C,D,andEbeloweachpath.
Theproblemof65一一66commonquestions
In48years,menstrualdisorderfornearlyayear,theamount
oflesstime,cycleofbleeding,nearlyhalfamonth,the2month
crampsaftercheck,normalsizeuterus,soft,diagnosed
anovulatorydysfunctionaluterinebleeding
65.thepreferredmethodofhemostasisis:
A.curettage
B.estrogen
C.progesterone
D.androgen
E.hemostaticagent
66.whichofthefollowingnursingmeasuresiswrong?:
A.readyforsurgeryhemostasis
B.retainingperinealpads
C.curettagespecimenswerenotroutinelysentforpathological
examination
D.prescribedantibioticstopreventinfection
E.usesexhormonesaccordingtodoctor,sorders
Theproblemof67-69commonquestions
35yearold,female,rheumaticheartdiseasepatientswith
heartfailure,digitalisanddiureticsaftertheoccurrenceof
nauseaandvomiting,ECGshowedventricularprematurebeatwith
twolawandtriplelaw.
67.whichofthefollowingnursingmeasuresshouldyoutake
first?:
A.bedrest,giveoxygen
B.supplementpotassiumandsodiumsalt
C.plusvasodilators
D.stoppeddigitalisimmediately
E.intravenoushypertonicglucosesolution
68.,weshouldpayattentiontosupplement:
A.MagnesiumSulfate
B.potassiumsaltandphenytoinsodium
C.calciumchloride
D.iodine
E.hypertonicglucose
69.whichdietisinappropriateforthepatient,sdiet?:
A.lowsalt
B.isrichinvitamins
C.properamountofcellulose
D.highcalorie
E.smallandmultiplemeals
Three,thefollowingprovideagroupofquestions,eachgroup
ofquestionsusedinfrontoftheexaminationquestions,A,B,
C,D,Efivealternativeanswers.Pleasechooseananswerthat
iscloselyrelatedtothequestion.Eachalternativeanswermay
bechosenonce,manytimes,ornot.
Thecommonanswerquestions70-72
ThenormalvalueofA.was8.5?9.5cm
ThenormalvalueofB.was12.5?13cm
C.
Thenormalvaluewas25?28cm
ThenormalvalueofD.was18?20cm
ThenormalvalueofE.is23-26cm
70.thediameterofiliaccrestisABODE
71.externaldiameterofsacralABCDE
Thediameterof72.sciatictuberositywasABCDE
Thecommonanswerquestions73-73
ThenormalvalueofA.was8.5?9.5cm
ThenormalvalueofB.was12.5?13cm
ThenormalvalueofC.was25?28cm
ThenormalvalueofD.was18?20cm
ThenormalvalueofE.is23-26cm
The73.iliacspinousdiameterABCDE
Thecommonanswerquestions74-75
A.yellowthickpus.
B.pusisthin,palered,more
C.thickpusfecalodor
D.pusispalegreenandsweetsmell
E.pushasafoulsmell
74.theBacteroidesinfectionwasABCDE
75.PseudomonasaeruginosainfectionisABCDE
Thecommonanswerquestions76-77
A.pillowsupine,headsideside
B.lateralposition
C.semirecumbentposition
D.pillowsupine6-8h
E.highslopeposition
76.ABCDEaftersubtotalgastrectomy
77.ABCDEaftercraniocerebraloperation
Thecommonanswerquestions78-79
A.indirectinguinalhernia
B.directinguinalhernia
C.hernia
D.hernia
E.incisionalhernia
78.themostproneincarceratedabdominalexternalherniais
ABCDE
79.themostcommonexternalherniaisABCDE
Thecommonanswerquestions80-83
A.teawater
B.atropine
C.clearwater
D.eggwhite
E.sodiumthiosulfate
80.ABCDEforcyanidepoisoning
81.ABCDEforacutepulmonaryedemacausedbyorganophosphorus
pesticide
82.gastriclavageforacutepoisoningcausedbyunknownreason
ABCDE
83.strongacidandalkalipoisoningusedasaprotectiveagent
isABCDE
Thecommonanswerquestions84-87
A.supplementsmoisturelostbysweatingandsoon
B.preventsuricacidnephropathy
C.reducescomplicationsofhemorrhagiccystitis
D.acceleratestheexcretionofbacteria,toxins,and
inflammatorysecretions
E.promotessputumdilutionandiseasilyexcreted
84.COPDpatientssputumviscosity,morewaterforABCDE
85.thepurposeofdrinkingwaterforchemotherapypatients
withacuteleukemiaisABCDE
86.pyelonephritispatientdrinkwatermorecanABCDE
87.hyperthyroidismpatientswithmoredrinkingwatercanABCDE
Thecommonanswerquestions88-89
A.accompaniedbytenesmus
B.mayhavepleuraleffusion
DiaphragmaticFfreegasmayappearinC.
D.canbeaccompaniedbyhemorrhagicshocksymptoms
EarlysymptomsofE.aremild,usuallywithlocalized
peritonitis
88.gastricruptureABCDE
89.pelvicdistensionandswellingABCDE
Four,eachofthefollowingquestions,thereareA,B,C,D,
Efivealternativeanswers.Pleasechooseallthecorrect
answersfromthealternativeanswers.
90.thebloodinsputumismainlyseeninblood:
A.bronchiectasis
B.pulmonarytuberculosis
C.emphysema
D.pneumonia
E.lungcancer
91.physiologicalproteinuriafo
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