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2026年全國醫(yī)學英語水平考試(METS三級)練習題及答案五

2025/12/15
文章來源:易考吧

2026年全國醫(yī)學英語水平考試(METS三級)練習題及答案五,更多相關資訊請繼續(xù)查看易考吧全國醫(yī)護英語水平考試
1). Refusing to Give CPR:Should Policy Defeat Common Sense?■A recent news story generated passionate comments in the TV and internet about whether or not a nurse working in a non-nursing role had a duty to perform CPR(Cardiopulmonary Resuscitation)on a resident of an independent living facility who had collapsed while eating in the dining room.This nurse allegedly refused to perform CPR on the resident despite a 911 dispatcher′s pleas,citing“facility policy”that prohibited employees from providing assistance and directed staff to wait for emergency responders.The resident ultimately died.A facility spokesperson reportedly supported the employee′s actions and their“policy.”Later accounts revealed that the family of the resident,who was 87,stated she wouldn′t have wanted CPR.I hope that was indeed the case.■This situation brings to the forefront some very distressing social issues.Most worrisome are the arguments that followed in the media against intervening in an emergency.There were many reasons which included fears about lawyers,legal responsibilities,and confusion over Good Samaritan laws.In general,these arguments legitimatized the“facility policy”that kept the employee from helping the resident.I wonder if expectations would be any different if a“facility policy”advocator needed emergency care.■What happens to our humanity if we promote following a policy over saving a life?Apparently our risk-averse culture is enabling common sense and ethics to take a backseat to actions influenced by fears of real or imagined responsibility.■Plain and simple policies should not stand in the way of saving lives.To be clear,I′m not referring to situations that involve people with known advance directives or“do-not-resuscitate”orders or even scene or personal safety issues that would place a rescuer in harm′s way and potentially increase the number of victims.There are certainly legitimate reasons to stand back.But to make a conscious decision to watch someone die when basic interventions may help flies in the face of human decency and all we′ve been taught as nurses.It also undermines the very concept of the“Chain of Survival”advocated by the American Heart Association in support of performing CPR.■Medicine was founded on the principle of,“First,Do No Harm.”As we celebr:ate Nurses Week,my personal plea is that we act to assure that our society doesn′t decline to the principle of,“First,Do Nothing.”Following a policy can be an excuse for not saving lives.( )
A.Not Mentioned
B.Wrong
C.Right

正確答案:B
2). What Should I Do about An Aspirin Overdose?■Aspirin overdose is an extremely serious and potentially life-threatening condition and there are two forms of which people should be aware.In acute aspirin poisoning a person takes far more than the recommended (in an adult about 20325 mg tablets) dosage,causing immediate poisoning.Another form of aspirin overdose is called chronic overdose and occurs when people take aspirin regularly.Dehydration may result in residual amounts of aspirin not clearing properly from the body,and this can cause toxicity.The chronic form is usually more likely in those people who take aspirin therapy and who have poor kidney function.■The regular dose of aspirin for most adults is 325-650 mg every four to six hours.In children,aspirin is not recommended,though some kids with heart conditions may be on very low dose amounts to prevent blood cotting.Low dose aspirin is usually approximately 80 mg per day,and may be sold as low dose or “baby”aspirin.For most kids,using this medication is not advisable because of the risk of developing certain conditions like Reye’s syndrome.■Most cases of acute aspirin overdose are intentional,and there are several symptoms people may recognize that can occur within a few hours of the overdose.In acute overdose,people may have extreme stomach pain,nausea and/or vomiting.If the amount taken is very high other symptoms like ringing in the ears,dizziness or drowsiness,hyperactive behavior,seizures and coma can be present.People might recognize signs of chronic aspirin overdose if a person is fatigued,has a mild fever,is breathing rapidly or has a fast heartbeat,and if the person acts confused or faints.■Both types of aspirin overdose are medical emergencies and need immediate medical attention.When people suspect overdose they should call emergency services right away and try to keep the person who has overdosed calm.They should not offer food or water to that person,and it is not advisable to induce vomiting,which may do more harm than good.In most cases,people should wait for emergency services to arrive instead of attempting to take an overdose victim to the emergency room.■One of the difcltiese with aspirin overdose is that there is no immediate antidote to it.In the hospital,people may be given charcoal,may be watched for developing symptoms,and might require dialysis to remove aspirin from the blood stream.There is no adequate home treatment that can replace hospital care,but even hospital care may sometimes be ineffective if the overdose has been ignored for several hours.■When people call emergency services,they can help greatly by having some information on hand.If they know the amount taken,the time the aspirin was taken,and the approximate weight and height of the overdose victim,this is great information to give a dispatch worker.It isn’t always possible to know this,but whatever extra information can be given may prove helpful.■For parents,a special caution exists.Many companies still make forms of baby aspirin that are chewable.These tend to taste good to kids and make aspirin overdose more likely.If there are adults (or kids with heart defects) that use the chewable form,keep these medications far out of reach of other children.An alternative is to use adult low dose aspirin,which is a small easy to swallow pill that doesn’t have an atractive taste.In either case,this medication and all others should not be anywhere near children.In chronic aspirin overdose,the victim may have symptoms like fatigue,low-grade fever,bradypnea(呼吸過慢),tachycardia,and confusion.( )
A.Right
B.Wrong
C.Not Mentioned

正確答案:B
3). Nutrition-Related Disorders■When the body is not given enough of any one of the essential nutrients over a period of time,it becomes weak and less able to ( ) infection.The brain may become sluggish(不機警的) and react slowly.The body taps its stored fat for energy,and muscle is broken down to use for energy.( ) the body withers away(衰弱),the heart ceases to pump properly,and death occurs—the most ( ) result of a dietary condition known as deficiency-related malnutrition.■Deficiency diseases result from ( ) intake of the major nutrients.These deficiencies can result from eating foods that lack critical vitamins and minerals,from a lack of variety of foods,or from simply not having enough food.Malnutrition can ( ) conditions of poverty,war,famine,and disease.It can also result from eating disorders,such as anorexia(厭食) and bulimia(貪食).■( ) malnutrition is more commonly associated with dietary deficiencies,it also can develop in cases ( ) people have enough food to eat,but they choose foods low in essential nutrients.This is the more common form of malnutrition in developed countries such as the United States.When poor food choices are ( ) a person may be getting an adequate,or excessive,amount of calories each day,yet still be undernourished.For example,iron ( ) is a common health problem among women and young children in the United States,and low intake of calcium is ( ) related to poor quality bones and increased fracture risk,especially in the elderly.■A diet of excesses may also ( ) to other nutitional problems.Obesity is the condition of having too much body fat.It has been linked to life-( )diseases including diabetes mellitus,heart problems,and some forms of cancer.Eating too many salty foods may ( )to high blood pressure,an often undiagnosed condition that causes the heart to work too hard and puts strain( ) the arteries.High blood pressure can lead to strokes,heart attacks,and kidney filure.A diet high in cholesterol and fat,particularly saturated fat(飽和脂肪),is the primary cause of atherosclerosis (動脈粥樣硬化),which occurs when fat and cholesterol deposits build up in the arteries,( ) a reduction in blood flow.( )
A.for
B.in
C.on
D.to

正確答案:C

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