1.简单
Which sample is commonly used to screen a patient for MRSA carriage on admission?
- AA swab from the front of the nose
- BA sample of stool sent for culture
- CA blood culture from one arm
- DA clean-catch midstream urine sample
2.简单
成人血清白蛋白的典型参考范围是多少?
- A约 8.5–10.5 g/dL(85–105 g/L)
- B约 0.5–1.0 g/dL(5–10 g/L)
- C约 3.5–5.0 g/dL(35–50 g/L)
- D约 12–16 g/dL(120–160 g/L)
3.简单
Which laboratory test best reflects the body's iron stores?
- ASerum ferritin
- BPlatelet count
- CSerum sodium
- DSerum albumin
4.中等
A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?
- AAn IV dose of vitamin K given for the fetus
- BA transfusion of group O Rh-positive red cells
- CDaily oral iron and folic acid supplements only
- DAnti-D immunoglobulin (Rho(D) immune globulin)
5.中等
一名因房颤服用华法林的患者 INR 为 1.4。这意味着什么?
- A抗凝不足,更容易发生血栓和卒中
- B患者不再需要服用华法林
- C患者出血风险很高,需要立即使用维生素 K
- D剂量恰到好处,无需改变
6.中等
对于疑似脓毒症的患者,应在何时采集血培养?
- A在首剂抗生素之前,且不要过多延误给药
- B在前三剂抗生素之后
- C任何时候,因为抗生素不影响结果
- D仅在发热持续超过三天时
7.困难
A patient with jaundice and nausea has a positive IgM antibody to hepatitis A virus (IgM anti-HAV). What does this show?
- AChronic hepatitis A lasting many years
- BA current or recent hepatitis A infection
- CImmunity from hepatitis A vaccine long ago
- DPast hepatitis B infection that has cleared
8.困难
哪项发现最有力地提示患者肌酐升高是由于急性肾损伤,而不是长期的慢性肾脏病?
- A三天前肌酐正常,此后翻了一倍
- B患者超声检查显示肾脏缩小
- C患者长期贫血
- D患者多年来肌酐一直偏高
答案
- 1. A · A swab from the front of the nose
- 2. C · 约 3.5–5.0 g/dL(35–50 g/L)
- 3. A · Serum ferritin
- 4. D · Anti-D immunoglobulin (Rho(D) immune globulin)
- 5. A · 抗凝不足,更容易发生血栓和卒中
- 6. A · 在首剂抗生素之前,且不要过多延误给药
- 7. B · A current or recent hepatitis A infection
- 8. A · 三天前肌酐正常,此后翻了一倍
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