急危

10年春A Part Ⅰ: Term Definition ( 5 points each, 15 points totally ) 1. Multiple Organ Dysfunction Syndrome (MODS):

2. Hypertensive crisis:

3. Poisoning：

Part Ⅱ: True or False ( 2 points each, 10 points totally )

1. Mental status is the most important and basic monitoring content. ( )

2. In chest trauma, open pneumothorax(气胸) is most likely to make pendular movement of mediastinum(纵隔摆动 ).（ ）

3. Block in lower respiratory is the indication（适应证）of endotracheal intubation. （ ） 4. The normal value of CVP is 5-12cmH2O. ( )

5. The duration of chronic pain is 15 days or longer. ( )

Part Ⅲ: Single Choice ( 3 points each, 15 points totally )

1. Which is not correct about EMS mentioned on the following: ( ) A. The emergency department of hospital is involved in emergency networks. B. First witness is involved in EMS.

C. First-aid medical staffs are involved in EMS.

D. The neighborhood health station is not involved in emergency networks.

2. Which is not correct about the nursing interventions of hyperthyroidism(甲状腺功能亢进) crisis ? （ ）

A. Closely monitor vital signs and mental status. B. Observe patient’s psychological changes. C.Fluid infusion to correct disorders of order, electrolyte and acid-base balance. D.Forbidden the patient to eat.

3. Perform chest compressions and artificial breating in a ratio of ( ) before airway is established.

A．15:2 B．30: 2 C．5:1 D．5:2 4. What is not specialty ICU ? ( ) A．CCU B．RCU C．SICU D．EICU

5. Which is the most suitable scale for assessing a child’s pain intensity ? ( ) A．Face pain scale B．Visual analogue scale C．Verbal description rating scale D．Numerical rating scale

Part Ⅳ: Brief Answers ( 10 points for each question, 40 points totally )

1. What are the clinical monitoring contents for patient after shock? (10 points)

2. Please state the indications of endotracheal intubation. (10 points)

3. What are the indicators(指标) of effective CPCR? (10 points) （Please answer in English, or you will lose the half score(请用英文回答，否则扣一半分）

4. What are the commonly used ventilation modes in clinic ? (10 points)

Part Ⅴ: Case Analysis ( 20 points ) A tibetan（藏民） man , 50 yeas old, was injured in collapsed house during the earthquake in Yushu, Qinghai. He was admitted to the hospital in 1 hour after injury. Physical examination: T 37.6℃, P 100 times／min，R 27 times／min，BP 90／60mmHg. X ray shows the right thighbone(股骨) is broken.The incoagulative(不凝固) blood is found by diagnostic peritoneocentesis(腹腔诊断性穿刺). The ultrasonography(B超) detects the left liver lobe(肝叶) is fractured. Questions: 1. What is the patient’s diagnosis ? (5 points) 2. What are the medical and nursing management to the patient ? (15 points)

10年春B Part Ⅰ: Term Definition ( 5 points each, 15 points totally )

1. Pre-hospital emergency medical care (PEMC):

2. Shock:

3. Coma：

Part Ⅱ: True or False ( 2 points each, 10 points totally )

1. The diagnosis of MODS must be provided with two items: systemic inflammatory （炎症）response syndrome and organs dysfunction. ( )

2. The duration of chronic pain is 15 days or longer. ( )

3. To sea water drowning, normal saline infusion is prohibited to prevent from pachyhemia (血液浓缩).（ ）

4. Exposure by inhalation results in the earliest appearance of organophosphate(有机磷农药) toxic symptoms, followed by the dermal(皮肤) route and finally the gastrointestinal route. （ ）

5. Mental status is the most important and basic monitoring content.（ ）

Part Ⅲ: Single Choice ( 3 points each, 15 points totally )

1. ( ) is the sign for non-critical patient in classifying patient. A. yellow B. green C. red D. black 2. What is not specialty ICU ? ( )

A．CCU B．RCU C．EICU D．SICU 3. Which trauma is open-trauma? （ ）

A．wrick trauma B．laceration C．dislocation D．extruded trauma

4. ECG shows ventricular fibrillation. The nurse decides to perform external defibrillation on patients. First you select energy ________ in adult. ( ) A.50J B.100J C.200J D.300J 5. CO poisoning produces syncope（晕厥）, tachypnoea（气促）, tachycardia，correlated percentage of serum COHb is（ ）.

A. < 20% B.< 30% C.50-60% D. > 60% Part Ⅳ: Brief Answers ( 18 points for question 1, 10 points for question 2, 12 points for question 3, 40 points totally )

1. What are the basic functions of ICU? (18 points)

2. Briefly state the nursing interventions of hypertensive crisis ? (10 points)

3. What approaches are there in psychological interventions for pain management ? (12 points)（Please answer in English, or you will lose the half score请用英文回答，否则扣一半

分）

Part Ⅴ: Case Analysis ( 20points )

A male patient, 76 years old, was diagnosed coronary heart disease(冠心病) and old myocardial infarction (心肌梗死) on anterior wall. On the morning of the fourth day after admitting, the patient lose consciousness suddenly, and the primary artery couldn’t be palpable. ECG shows ventricular fibrillation. Questions:

1. What happened to the patient? (5 points)

2. If you are the nurse on duty, how to rescue the patient? (15 points)

08年春A

Part Ⅰ: Term Definition ( 5 points each, 15 points totally ) 1、cardiac arrest:

2、shock:

3、MODS:

Part Ⅱ: True or False ( 2 points each, 10 points totally )

1. If you are a medical volunteer to the disaster of earthquake in WenChuan(汶川地震),the first thing you should do is to establish effective breathing and circulation. ( )

2. Protecting brain should be performed as soon as possible. While carrying out external chest compression, patient can be cooled. ( )

3. When the T exceeds 42℃ accompanied with coma, shock and bleeding. We call this condition high fever crisis.（ ）

4. Trauma Score is used to judge the severity of a trauma ,to observe the patient’s respiration, circulation and central nervous systems’ functions. ( ) 5. The normal value of CVP is 10-20cmH2O. ( )

Part Ⅲ: Single Choice ( 3 points each, 15 points totally )

1. Which one of the following options does not Emergency nursing include? ( ) A. pre-hospital first-aid B. disaster preparedness