First, strengthen action protection
Don't do somersaults.
C, emphasis on mastering the essentials
D, buy qualified cushions.
E, teachers make correct demonstration actions.
67. The key treatment at the scene is C.
A, let other students not panic
Inform parents
C. Fix the neck and send it to the hospital immediately.
D, should be accompanied by a teacher.
The students went on with their classes.
68, the patient to the emergency room, the nurse should immediately answer.
A, prepare to take X-rays
B, do a skin test
C, notify the laboratory for testing.
D. Relieve pain
E. notify the admission.
69, (69-72*** with peduncle) A4 patient, male, 50 years old, suffered from upper gastrointestinal bleeding three months ago. After examination, it was diagnosed as esophageal varices, and hematemesis and melena occurred again two days ago. He came to the hospital for emergency treatment. He had a history of hepatitis B for more than 20 years. The patient was diagnosed with portal hypertension and 69. The most likely cause of upper gastrointestinal bleeding is B.
First, extrahepatic portal vein obstruction
B, hepatic sinus obstruction
C, hepatic vein occlusion
D, umbilical vein obstruction
E, portal vein thrombosis
70. Misuse of E in emergency.
First, the application of hemostatic agents
B, three-cavity and two-sac tube compression hemostasis
C, intravenous drip pay attention to the body pituitrin
D, oral iced salt water
E, oral intestinal antibiotics
7 1, the patient suddenly became restless, struggling, and then turned blue. The correct first aid method was C.
Answer: oxygen inhalation and sputum aspiration.
B, tracheal intubation immediately
C, quickly cut off the three-lumen and two-sac tube.
D, quickly insert two capsules with three cavities into the stomach for 5cm.
E, immediately report to the doctor.
72. When using three-lumen and two-sac tubes, complications include E.
I. Erosion of gastric fundus and esophageal mucosa
B, cardiac arrest
C, suffocation
D, aspiration pneumonia
E, all of the above
73.(73-76*** uses the title stalk) Mr. Hu, 56, has been suffering from bloody stool and anal prolapse for 65,438+0 years. In the past two months, he found that his stool was flat with pus on the surface. When I went to the hospital to check the finger diagnosis, I found a tumor with the size of 2X2cm in the middle of the rectum, which was hard and unclear. 73. What kind of auxiliary examination does Mr. Hu need to do to further diagnose E?
First, fecal occult blood
Barium enema
C, b-ultrasound
d、CT
E, endoscopy
74. If rectal cancer has been diagnosed, colostomy should be taken, and special attention should be paid to C within three days after operation.
First, keep the skin stoma clean
B, observe the color, quantity and nature of drainage.
C, observe the blood supply at the stoma.
D, hemogram changes
Changes of e and e vital signs
75. In order to reduce the odor after the stoma is opened, Mr. Hu should pay special attention to D in his diet.
A, choose digestible semi-liquid food
B. Supplement protein
C, drink plenty of water
Don't eat onions, garlic and other irritating foods.
Eat more fruit
76. When Mr. Hu was discharged from the hospital, the key point of the nurse's health guidance to him was E.
First, go to the hospital for regular review.
B, in order to reduce the trouble of changing dung bags, eat more dry food.
C, strengthen exercise
D, expand the stoma every 2-3 days.
Get into the habit of defecating regularly.
77.(77-80*** with alternative answers) B 1 Question 77. Patients with acute pancreatitis should receive a.
First, fasting
B, liquid food
C, semi-liquid food
D, slag-free diet
E, low-fat diet
78. Exhaust was started 4 days after appendectomy, and B-ultrasound examination was given.
First, fasting
B, liquid food
C, semi-liquid food
D, slag-free diet
E, low-fat diet
79. Give D three days before colon surgery.
First, fasting
B, liquid food
C, semi-liquid food
D, slag-free diet
E, low-fat diet
80. Patients with chronic cholecystitis e
First, fasting
B, liquid food
C, semi-liquid food
D, slag-free diet
E, low-fat diet
8 1, (8 1-85*** with alternative answers)
8 1. The first choice of treatment for lung squamous cell carcinoma
First, radiotherapy
B, chemotherapy+radiotherapy+surgery
C, surgical treatment
D, immunotherapy
E, Chinese medicine therapy
82. The first treatment for undifferentiated small cell lung cancer is B.
First, radiotherapy
B, chemotherapy+radiotherapy+surgery
C, surgical treatment
D, immunotherapy
E, Chinese medicine therapy
83.(83-85*** Use alternative answers) 83. Great saphenous vein varicose, deep vein unobstructed.
First, raise the affected limb and move early.
B, no massage
C, use elastic socks
physiotherapy
E. brake and massage the affected limb.
84. Patients who are active on the first day after high ligation of great saphenous vein should choose A.
First, raise the affected limb and move early.
B, no massage
C, use elastic socks
physiotherapy
E. brake and massage the affected limb.
85, left lower extremity deep vein thrombosis should choose B.
First, raise the affected limb and move early.
B, no massage
C, use elastic socks
physiotherapy
E. brake and massage the affected limb.
86.(86-88*** Use alternative answers) 86. Stomach rupture.
First, it may be accompanied by hemorrhagic shock symptoms.
Will there be hematemesis and black stool?
C, can have retroperitoneal pneumatosis
D, free gas will appear under the diaphragm.
E, early symptoms are mild, often just localized peritonitis.
87. Spleen rupture
First, it may be accompanied by hemorrhagic shock symptoms.
Will there be hematemesis and black stool?
C, can have retroperitoneal pneumatosis
D, free gas will appear under the diaphragm.
E, early symptoms are mild, often just localized peritonitis.
88, colon rupture e
First, it may be accompanied by hemorrhagic shock symptoms.
Will there be hematemesis and black stool?
C, can have retroperitoneal pneumatosis
D, free gas will appear under the diaphragm.
E, early symptoms are mild, often just localized peritonitis.
89, (89-90*** with alternative answers) 89. A 60-year-old man, whose right inguinal mass could not be recovered in 4 hours, vomited 3 times, and complained of a reversible mass in the right abdomen for 5 years, with conscious consciousness and abdominal distension. Check his right groin 8? 5? 3cm oval mass, tenderness and rebound pain, and hypervocal bowel sounds should be considered as C.
I. Irreducible indirect inguinal hernia
Inguinal lymphadenitis
C, indirect inguinal hernia incarceration
D, direct inguinal hernia
E, femoral hernia
A 90.55-year-old woman suffered from swelling and pain in the left groin area when standing for a long time or coughing, and she lay flat for about one year without discomfort. Examination: when standing, the left groin protrudes inside, but it has no effect when coughing, so it should be considered as E.
I. Irreducible indirect inguinal hernia
Inguinal lymphadenitis
C, indirect inguinal hernia incarceration
D, direct inguinal hernia
E, femoral hernia
Second, multiple choice questions
1, the purpose of encouraging urinary patients to drink more water a, b, d
First, it is conducive to the regression of inflammation.
Reduce the formation of stones
C, supplement blood volume
D, irrigating urethra
E, remove metabolic waste in the body.
2. The characteristics of ascaris intestinal obstruction A, B and C.
A, more common in children aged 2- 10.
B, there are many long rope-like masses in the abdomen, and the position can be changed.
C, paroxysmal abdominal pain and vomiting.
D, mostly complete intestinal obstruction.
E, more common in adults over 20 years old.
3. The diagnosis of acute pancreatitis is mainly based on A, B, C and D..
I. Clinical manifestations
B, leukocytosis
C, hematuria amylase increased.
D, B-ultrasound found pancreatic enlargement.
E, liver function test is normal.
4. The main nursing diagnoses of patients with benign prostatic hyperplasia are A, B, C and D..
First, anxiety
B, the change of urination mode
C, bleeding
D, urinary tract infection
E, nutrition is lower than the body needs.
5. Diagnostic methods of acute urinary retention A, B, C and E.
A, whether there is bladder swelling in the lower abdomen, and whether the percussion sounds.
B. Vaginal palpation (married women)
C, rectal digital examination
D, intravenous pyelography
E, x-ray
6, the diagnosis of pancreatic head cancer should be based on which of the following a, b, c?
I. Obstructive jaundice
B, gallbladder enlargement
C, B-ultrasound showed the occupying lesion of pancreatic head.
D, abdominal colic
E, blood amylase increased.
7. The contents of external abdominal hernia are A, B, C and D..
I. Small intestine
B, greater omentum
caecum
D. sigmoid colon
E. transverse colon
8. There are three possible causes of anal pain after defecation: A, B and C..
First, anal fissure
B, external hemorrhoid thrombosis
C, internal hemorrhoid incarceration
D, anal fistula
E, colonic polyps
9. Which of the following is an urgent refusal A, B, C and D?
First, the color of the kidney changes from bright red to dark red.
B, acute pain of transplanted kidney
C, elevated blood pressure
D. High fever and chills
E, weight gain
10, the main points of skin traction nursing are a, b, c, d and e.
First, tape stickers.
B. Stick the adhesive tape along the longitudinal axis of the limb.
C. Connect the adhesive tape and the traction rope with the expansion plate.
D, keep against traction.
E, pay attention to skin allergies.