1.简单
成人血清镁的典型参考范围是多少?
- A约 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- B约 0.3–0.7 mEq/L(0.15–0.35 mmol/L)
- C约 3.5–5.0 mEq/L(1.75–2.5 mmol/L)
- D约 6.0–8.0 mEq/L(3.0–4.0 mmol/L)
2.简单
Which blood test is the usual measure of a person's vitamin D status?
- A1,25-dihydroxyvitamin D
- BSerum phosphate
- C25-hydroxyvitamin D
- DParathyroid hormone
3.简单
What is the usual diagnostic cut-off for diabetes on a fasting plasma glucose test, when confirmed on a second test?
- A110 mg/dL (6.1 mmol/L) or higher
- B100 mg/dL (5.6 mmol/L) or higher
- C200 mg/dL (11.1 mmol/L) or higher
- D126 mg/dL (7.0 mmol/L) or higher
4.中等
一名服用华法林的患者开始每天大量食用羽衣甘蓝和菠菜。INR 已下降。哪项建议最恰当?
- A保持富含维生素 K 的食物摄入量每天稳定
- B不告诉开医嘱者就将华法林剂量加倍
- C在饮食恢复正常之前停用华法林
- D永远不再吃绿叶蔬菜
5.中等
为什么肝衰竭患者即使没有服用华法林,INR 也可能升高?
- A肝脏合成大多数凝血因子,因此合成减少
- B白蛋白是一种凝血因子,其水平下降
- C胆红素直接破坏凝血因子
- D肾脏不再从血液中清除凝血因子
6.中等
在慢性肾脏病中,血清磷酸盐升高通常伴有钙的哪种变化?
- A血清钙升高
- B仅血清钾升高,钙无变化
- C钙无变化
- D血清钙降低
7.困难
A 68-year-old man has fatigue, a hemoglobin of 9.8 g/dL (98 g/L), an MCV of 72 fL and a low ferritin. He eats a normal diet. What is the most important next step?
- AStart vitamin B12 injections
- BGive iron and do no further tests at all
- CRepeat the blood count in one year
- DLook for a source of blood loss in the gut
8.困难
A patient receiving IV magnesium sulfate has a respiratory rate of 9/min and absent patellar reflexes. After stopping the infusion, which medication should the nurse expect to give?
- APotassium chloride
- BCalcium gluconate
- CSodium bicarbonate
- DProtamine sulfate
答案
- 1. A · 约 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- 2. C · 25-hydroxyvitamin D
- 3. D · 126 mg/dL (7.0 mmol/L) or higher
- 4. A · 保持富含维生素 K 的食物摄入量每天稳定
- 5. A · 肝脏合成大多数凝血因子,因此合成减少
- 6. D · 血清钙降低
- 7. D · Look for a source of blood loss in the gut
- 8. B · Calcium gluconate
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