1.简单
About what proportion of total serum calcium is in the free (ionized) form?
- AAbout one tenth
- BAlmost none
- CAbout half
- DNearly all
2.简单
Which type of white blood cell is normally the most numerous in an adult's blood?
- AEosinophils
- BMonocytes
- CNeutrophils
- DLymphocytes
3.简单
What does the term pancytopenia mean?
- AHigh white cells with low platelets
- BHigh red cells, white cells and platelets
- CLow red cells with normal platelets
- DLow red cells, white cells and platelets
4.中等
On the first day after major surgery, a patient's white cell count is 12.5 × 10³/µL, with no fever or wound signs. What is the best interpretation?
- AA sign of leukemia that needs bone marrow testing
- BDefinite wound infection that needs antibiotics now
- CA laboratory error, since surgery lowers white cells
- DA common stress response to surgery that is monitored
5.中等
A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?
- AThe patient has stopped the drug
- BThe levothyroxine dose is too high
- CThe thyroid is now completely normal
- DThe levothyroxine dose is too low
6.中等
A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7.3 mmol/L) on Monday and 138 mg/dL (7.7 mmol/L) on Thursday. What does this show?
- AThe results show prediabetes only
- BThe results are within the normal fasting range
- CThe results show reactive hypoglycemia
- DThe results meet the criteria for diabetes
7.困难
A patient admitted with heavy alcohol use and malnutrition has a glucose of 52 mg/dL (2.9 mmol/L) and low magnesium. Which prescribed treatment should be given before the IV glucose?
- AIV insulin
- BIV potassium
- CIV thiamine
- DOral iron
8.困难
An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?
- APyelonephritis, which needs admission and IV fluids today
- BA urinary tract infection that needs urgent IV antibiotics
- CContamination, so the culture must be repeated every week
- DAsymptomatic bacteriuria, usually not treated with antibiotics
答案
- 1. C · About half
- 2. C · Neutrophils
- 3. D · Low red cells, white cells and platelets
- 4. D · A common stress response to surgery that is monitored
- 5. B · The levothyroxine dose is too high
- 6. D · The results meet the criteria for diabetes
- 7. C · IV thiamine
- 8. D · Asymptomatic bacteriuria, usually not treated with antibiotics
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