1.简单
What does a "culture and sensitivity" test of a sample show?
- AThe amount of antibiotic in the patient's blood
- BWhich organism grows and which antibiotics work on it
- CWhether the patient is allergic to an antibiotic
- DHow many white cells are present in the sample
2.简单
What is a typical reference range for the reticulocyte count in an adult?
- AAbout 0.01–0.05% of red cells
- BAbout 40–50% of red cells
- CAbout 10–20% of red cells
- DAbout 0.5–2% of red cells
3.简单
What does the term "left shift" mean on a white cell differential?
- AA rise in the number of eosinophils
- BA fall in all the white cell types together
- CMore immature neutrophils (bands) than normal
- DMore lymphocytes than neutrophils in the blood
4.中等
When should a blood sample for a digoxin level be drawn to be interpreted correctly?
- AAt least 6–8 hours after a dose, often just before the next one
- BAt any time, because digoxin levels do not change during the day
- COnly after a meal, because food is needed for absorption
- DWithin 30 minutes after an oral dose to show the peak level
5.中等
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
- AVitamin B12
- BFolate (folic acid)
- CIron (low ferritin)
- DVitamin C (ascorbic acid)
6.中等
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
- AAny result outside the range always means disease is present
- BRanges cover about 95% of healthy people, so some fall outside
- CReference ranges include every healthy person without exception
- DReference ranges are the same in every laboratory worldwide
7.困难
Which set of results most strongly suggests hemolytic anemia?
- ALow hemoglobin, low platelets, low white cells, low reticulocytes
- BLow hemoglobin, low reticulocytes, low MCV, low ferritin
- CLow hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
- DLow hemoglobin, high MCV, low vitamin B12, normal bilirubin
8.困难
A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2.1 mg/dL (186 µmol/L). What does this indicate?
- ASevere C. difficile infection
- BSuccessful response to treatment
- CUnrelated chronic kidney disease
- DMild infection needing no treatment
答案
- 1. B · Which organism grows and which antibiotics work on it
- 2. D · About 0.5–2% of red cells
- 3. C · More immature neutrophils (bands) than normal
- 4. A · At least 6–8 hours after a dose, often just before the next one
- 5. A · Vitamin B12
- 6. B · Ranges cover about 95% of healthy people, so some fall outside
- 7. C · Low hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
- 8. A · Severe C. difficile infection
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