1.简单
Which blood marker is the most specific for injury to the heart muscle?
- ACardiac troponin
- BSerum myoglobin
- CLactate dehydrogenase
- DTotal creatine kinase
2.简单
血清钾 5.9 mEq/L 称为:
- A高钾血症
- B高钙血症
- C低钾血症
- D高钠血症
3.简单
Which laboratory test is used to monitor warfarin therapy?
- APlatelet count
- BPT with INR
- CD-dimer
- DaPTT
4.中等
A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?
- AInternational normalized ratio
- BSerum amylase
- CSerum lithium level
- DAbsolute neutrophil count
5.中等
For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?
- AAbout 140–180 mg/dL (7.8–10 mmol/L)
- BAbout 300–350 mg/dL (16.7–19.4 mmol/L)
- CAbout 60–80 mg/dL (3.3–4.4 mmol/L)
- DAbout 250–300 mg/dL (13.9–16.7 mmol/L)
6.中等
一名室性心律失常患者的监护仪上显示扭转样图形(尖端扭转型室速)。常静脉给予哪种电解质作为治疗?
- A碳酸氢钠
- B碳酸钙
- C磷酸钾
- D硫酸镁
7.困难
A patient with acute kidney injury after severe dehydration has a rising creatinine. Which urine findings support a prerenal cause rather than acute tubular necrosis (ATN)?
- AWhite cell casts with positive nitrites on the dipstick
- BRed cell casts with heavy protein loss in the urine
- CLow urine sodium and concentrated urine with a high specific gravity
- DHigh urine sodium and dilute urine with muddy brown granular casts
8.困难
A patient on clozapine for 2 years has been stable. Which statement shows a need for further teaching?
- A"I'll keep all my scheduled blood test visits"
- B"I can stop my blood tests since I feel well"
- C"I'll report a sore throat or fever at once"
- D"I'll tell other doctors that I take clozapine"
答案
- 1. A · Cardiac troponin
- 2. A · 高钾血症
- 3. B · PT with INR
- 4. D · Absolute neutrophil count
- 5. A · About 140–180 mg/dL (7.8–10 mmol/L)
- 6. D · 硫酸镁
- 7. C · Low urine sodium and concentrated urine with a high specific gravity
- 8. B · "I can stop my blood tests since I feel well"
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