1.简单
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- AReceives an insulin injection, and glucose is checked each hour
- BDrinks a measured glucose solution, and glucose is checked 2 hours later
- CEats a normal meal, and glucose is checked once later that evening
- DFasts for 3 days, and glucose is checked every morning before breakfast
2.简单
A patient has a hemoglobin of 19.5 g/dL (195 g/L) and a hematocrit of 58%. Which term describes this?
- APancytopenia (all cells low)
- BThrombocytopenia (low platelets)
- CPolycythemia (erythrocytosis)
- DIron-deficiency anemia
3.简单
A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?
- ADuctal breast cancer
- BProstate adenocarcinoma
- CBladder urothelial cancer
- DHepatocellular (liver) cancer
4.中等
When should a blood sample for a digoxin level be drawn to be interpreted correctly?
- AAt any time, because digoxin levels do not change during the day
- BWithin 30 minutes after an oral dose to show the peak level
- CAt least 6–8 hours after a dose, often just before the next one
- DOnly after a meal, because food is needed for absorption
5.中等
一名该服地高辛的患者钾为 3.1 mEq/L。为什么这个结果很重要?
- A低钾增加地高辛中毒的风险
- B低钾可保护心脏免受地高辛副作用的影响
- C钾与地高辛没有相互作用
- D低钾使地高辛无效,所以应将剂量加倍
6.中等
Which change in clotting tests is normal in late pregnancy?
- APlatelets rise above 600 × 10³/µL
- BFibrinogen and D-dimer rise
- CINR rises to about 3.0
- DaPTT doubles from baseline
7.困难
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- AGlucose 145 mg/dL (8.0 mmol/L) after surgery
- BHemoglobin 12.1 g/dL (121 g/L) after surgery
- CSodium 136 mEq/L on IV fluids after surgery
- DCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
8.困难
A nursing student has a positive interferon-gamma release assay (IGRA) for tuberculosis, no symptoms and a normal chest X-ray. What does this most likely mean?
- APast BCG vaccination only, with no infection
- BA false result, as the test does not detect TB
- CLatent TB infection, which is not contagious
- DActive pulmonary TB, which is contagious
答案
- 1. B · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 2. C · Polycythemia (erythrocytosis)
- 3. D · Hepatocellular (liver) cancer
- 4. C · At least 6–8 hours after a dose, often just before the next one
- 5. A · 低钾增加地高辛中毒的风险
- 6. B · Fibrinogen and D-dimer rise
- 7. D · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. C · Latent TB infection, which is not contagious
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