1.简单
Where are urinary casts formed?
- AIn the ureters
- BIn the kidney tubules
- CIn the urinary bladder
- DIn the urethra
2.简单
How does dehydration usually affect the hematocrit?
- AIt makes it zero
- BIt raises it
- CIt lowers it
- DIt has no effect
3.简单
Below about which blood glucose level is hypoglycemia usually defined and treated in a person with diabetes?
- A126 mg/dL (7.0 mmol/L)
- B70 mg/dL (3.9 mmol/L)
- C100 mg/dL (5.6 mmol/L)
- D40 mg/dL (2.2 mmol/L)
4.中等
A test has very high sensitivity for a disease. What does a negative result mean?
- AThe disease is unlikely, so it helps rule it out
- BThe disease is certain, so treatment should begin
- CThe result cannot be used, because sensitivity is high
- DThe patient must have a different disease instead
5.中等
A patient starts high-dose prednisone. Which laboratory change should the nurse expect?
- AA fall in serum sodium
- BA rise in serum potassium
- CA fall in the white cell count
- DA rise in blood glucose
6.中等
A patient has taken a proton pump inhibitor (such as omeprazole) for many years and now has muscle cramps and tremor. Which electrolyte is most likely to be low?
- AMagnesium
- BChloride
- CSodium
- DPhosphate
7.困难
A patient with long-standing rheumatoid arthritis has a hemoglobin of 10.5 g/dL (105 g/L), a low serum iron, a low total iron-binding capacity (TIBC) and a high-normal ferritin. Which condition fits best?
- AVitamin B12 deficiency anemia
- BAcute blood loss anemia
- CIron-deficiency anemia
- DAnemia of chronic disease (inflammation)
8.困难
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
- AA normal finding in patients with heart murmurs
- BContamination of all three samples during collection
- CPersistent bacteremia, as in infective endocarditis
- DA urinary tract infection that has spread to the skin
答案
- 1. B · In the kidney tubules
- 2. B · It raises it
- 3. B · 70 mg/dL (3.9 mmol/L)
- 4. A · The disease is unlikely, so it helps rule it out
- 5. D · A rise in blood glucose
- 6. A · Magnesium
- 7. D · Anemia of chronic disease (inflammation)
- 8. C · Persistent bacteremia, as in infective endocarditis
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