1.简单
What does the term "left shift" mean on a white cell differential?
- AMore lymphocytes than neutrophils in the blood
- BA rise in the number of eosinophils
- CMore immature neutrophils (bands) than normal
- DA fall in all the white cell types together
2.简单
成人白细胞计数的典型参考范围是多少?
- A约 0.5–1.0 × 10³/µL(0.5–1.0 × 10⁹/L)
- B约 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
- C约 150–400 × 10³/µL(150–400 × 10⁹/L)
- D约 25–40 × 10³/µL(25–40 × 10⁹/L)
3.简单
哪个 HbA1c 值达到糖尿病通常的诊断阈值?
- A4.5%(26 mmol/mol)或更高
- B6.5%(48 mmol/mol)或更高
- C5.5%(37 mmol/mol)或更高
- D5.0%(31 mmol/mol)或更高
4.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?
- AReference ranges include every healthy person without exception
- BAny result outside the range always means disease is present
- CRanges cover about 95% of healthy people, so some fall outside
- DReference ranges are the same in every laboratory worldwide
5.中等
A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?
- AGive several deep-cough samples, often first thing in the morning
- BGive one sample after brushing with mouthwash so it is clean
- CGive one sample of saliva collected from the mouth at any time of day
- DGive several samples of nasal mucus blown into a tissue
6.中等
哪种治疗通过使钾进入细胞内来降低血清钾?
- A在 10 分钟内静脉注射葡萄糖酸钙
- B口服氯化钾补充剂
- C静脉注射普通胰岛素并配合葡萄糖
- D静脉输注 0.45% 氯化钠
7.困难
The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?
- A"I'll fast overnight but can drink plain water"
- B"I'll stay seated during the test if I can"
- C"I'll avoid smoking until the test is over"
- D"I can have a light breakfast before the test"
8.困难
A patient with severe sepsis is oozing blood from IV sites. Platelets 40 × 10³/µL, fibrinogen low, D-dimer very high, PT and aPTT both prolonged. Which condition fits best?
- AHemophilia A (factor VIII deficiency)
- BHeparin-induced thrombocytopenia (HIT)
- CImmune thrombocytopenic purpura (ITP)
- DDisseminated intravascular coagulation (DIC)
答案
- 1. C · More immature neutrophils (bands) than normal
- 2. B · 约 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
- 3. B · 6.5%(48 mmol/mol)或更高
- 4. C · Ranges cover about 95% of healthy people, so some fall outside
- 5. A · Give several deep-cough samples, often first thing in the morning
- 6. C · 静脉注射普通胰岛素并配合葡萄糖
- 7. D · "I can have a light breakfast before the test"
- 8. D · Disseminated intravascular coagulation (DIC)
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