20 18 examination question bank of internal medicine nursing for junior nurses (2)

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20 18 examination question bank of internal medicine nursing for junior nurses (2)

Nursing care of patients with digestive system diseases

A 1 type problem

1. Empty abdominal pain is common in B-ultrasound.

A. Gastric ulcer

B. duodenal ulcer

C. pancreatitis

D. cholecystitis

E. hepatitis

2. Regarding the manifestations of peptic ulcer, D is incorrect.

A. Gastric ulcer is not just postprandial pain.

B. Duodenal ulcer is not just empty abdominal pain

C. it may be complicated with bleeding.

D. All patients have epigastric pain.

E. duodenal ulcer can develop into penetrating ulcer.

3. the principle of hepatic coma caused by cirrhosis complicated with upper gastrointestinal bleeding is mainly D.

A. Decreased blood volume

B. The liver has limited detoxification function

C. cerebral ischemia and hypoxia

D. Increased ammonia production due to intestinal hematocele

E. Decreased renal blood flow will reduce ammonia excretion.

4. Which of the following best describes the ulcer complicated with perforation?

A. Severe pain in the upper abdomen

B. The pain goes away rhythmically

C. the boundary of liver dullness disappears.

D. Signs of shock

E. signs of peritonitis

5. Which of the following diseases secretes the most gastric acid D?

A. Superficial gastritis

B. atrophic gastritis

C. gastric ulcer

D. duodenal ulcer

E. gastric cancer

6. Which of the following is a complication of acute pancreatitis B?

A. Cirrhosis

B. Upper gastrointestinal bleeding

C. perforation

D. hepatorenal syndrome

E. diabetes

7. the main purpose of oral lactulose in patients with hepatic coma is D.

A. Removing bacterial toxins

B. Preventing the spread of mold

C. inhibiting the growth of Escherichia coli

D. reduce the pH value in the intestine

E. help digestion

8. D is the first choice to reduce ammonia production in intestinal cavity.

A. penicillin

B. streptomycin

C. compound sulfamethoxazole

D. neomycin

E. furandine

9. the main manifestation of gastric and duodenal ulcer disease is D.

A. obvious loss of appetite

B. Recurrent nausea and vomiting

C. Recurrent gastric acid and burping

D. Chronic recurrent epigastric rhythmic pain

E. stool occult blood test continues to be positive.

10. In the differential diagnosis between ascites due to liver cirrhosis and tuberculous peritonitis, the basis for considering the former is DA. Emaciation, fatigue and weakness.

B. Abdominal pain and bloating

C. moving voiced sound

D. Ascites is leakage.

E. Irregular fever

1 1. The characteristic of abdominal pain that does not conform to acute pancreatitis is D.

A. Seizures after a full meal or drinking

B. the pain is located in the middle and upper abdomen.

C. nausea

D. Intermittent severe upper abdominal pain

E. the pain will radiate to the left back.

12. which is wrong in the treatment of ulcer complicated with hematemesis?

A. Temporary fasting

B.people who are upset can be given sedatives.

C. Replenishing blood volume

D.6- aminocaproic acid intravenous drip

E. immediate operation

13. The main method to diagnose and differentiate various types of chronic gastritis is B-ultrasound.

A. X-ray inspection

B. fiberoptic gastroscopy and gastric biopsy

C. Analysis of gastric juice

D. Examination of fecal occult blood

E. Can antispasmodic antacids relieve symptoms?

14. Which of the following is wrong in the care of ulcers?

A.there is no strong tea.

B. avoid eating cold and irritating food.

C. Combination of work and rest

D. keep a good mood

E. pepsin mixture is often used to stimulate the appetite of patients.

15. the earliest manifestation of hepatic encephalopathy is B.

A. lethargy

B. Changes in personality and behavior

C. confusion

D. repetitive hyperfunction

E. flapping wing tremor

16. The most common cause of hepatic coma is.

A. Cirrhosis

B. severe hepatitis

C. Primary liver cancer

D. Biliary tract diseases

E. drug-induced hepatitis

17. B is the first consideration when ascites due to cirrhosis is bloody.

A. Primary peritonitis

B. Primary liver cancer

C. hepatorenal syndrome

D. Tuberculous peritonitis

E. Portal vein thrombosis

18. the main cause of pancytopenia in liver cirrhosis is D.

A. Gastrointestinal bleeding

B. Hematopoietic function of bone marrow is inhibited.

C. malnutrition

D. Hypersplenism

E. Decreased protein production in liver.

19. Nursing care of patients with liver cirrhosis and massive ascites, which of the following is inappropriate?

A. low-salt diet

B. Semi-recumbent position

C. regularly measure abdominal circumference and weight.

D. People who use diuretics need to supplement potassium.

E. skin care

20. For the treatment of ascites due to cirrhosis, which of the following is wrong?

A. Limit sodium intake

B. limiting water intake

C. protein supplementation

D. Combined or alternate use of diuretics

E. ascites is discharged regularly.