1.简单
A positive hepatitis B surface antigen (HBsAg) test means:
- AThe person currently has hepatitis B infection
- BThe person had hepatitis A in the past
- CThe person is immune from vaccination only
- DThe person has never met the virus
2.简单
成人血小板计数的典型参考范围是多少?
- A约 1000–2000 × 10³/µL(1000–2000 × 10⁹/L)
- B约 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
- C约 12–16 × 10³/µL(12–16 × 10⁹/L)
- D约 150–400 × 10³/µL(150–400 × 10⁹/L)
3.简单
Where are urinary casts formed?
- AIn the kidney tubules
- BIn the urethra
- CIn the urinary bladder
- DIn the ureters
4.中等
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe treatment is suppressing the virus very well
- BThe treatment can now be stopped without any risk
- CThe virus has been completely cured and removed
- DThe CD4 count must now be dangerously low too
5.中等
A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?
- ACalcium gluconate
- BVitamin K (phytonadione)
- CNaloxone
- DProtamine sulfate
6.中等
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- ASend the fluid for cell count and culture and report it
- BRecord it as normal and continue the usual exchanges
- CAdd more glucose to the next bag to clear the fluid
- DStop dialysis for a week and recheck the fluid later
7.困难
A patient has a hematocrit of 60% and a raised red cell mass. Which result suggests polycythemia vera rather than secondary polycythemia from chronic hypoxia?
- AA low erythropoietin level
- BA high erythropoietin level
- CA low oxygen saturation
- DA high carboxyhemoglobin
8.困难
Which cerebrospinal fluid (CSF) pattern most strongly suggests bacterial meningitis?
- AClear fluid, normal glucose, normal protein, no white cells
- BCloudy fluid, low glucose, high protein, many neutrophils
- CClear fluid, normal glucose, mildly raised protein, lymphocytes
- DClear fluid, high glucose, low protein, many red cells
答案
- 1. A · The person currently has hepatitis B infection
- 2. D · 约 150–400 × 10³/µL(150–400 × 10⁹/L)
- 3. A · In the kidney tubules
- 4. A · The treatment is suppressing the virus very well
- 5. D · Protamine sulfate
- 6. A · Send the fluid for cell count and culture and report it
- 7. A · A low erythropoietin level
- 8. B · Cloudy fluid, low glucose, high protein, many neutrophils
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