实验室检查值与电解质练习卷(附答案)

免费可打印的实验室检查值与电解质练习卷:8 道题,从简单到考试水平,附答案。可打印或另存为 PDF。

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姓名: ____________________   日期: ____________

1.简单

In iron-deficiency anemia, the transferrin saturation is usually:

  1. ALow
  2. BHigh
  3. CVariable
  4. DNormal
2.简单

Which antibody test is most specific for rheumatoid arthritis?

  1. AAntinuclear antibody
  2. BAnti-CCP antibodies
  3. CAnti-D antibody
  4. DAnti-HBs antibody
3.简单

What is a typical adult reference range for thyroid-stimulating hormone (TSH)?

  1. AAbout 0.01–0.04 mIU/L
  2. BAbout 10–20 mIU/L
  3. CAbout 0.4–4.0 mIU/L
  4. DAbout 40–80 mIU/L
4.中等

A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7.8% (62 mmol/mol). What is the best interpretation?

  1. AThe patient has had frequent episodes of severe hypoglycemia
  2. BThe result shows today's fasting glucose is above the target
  3. CAverage glucose over the past months has been above the target
  4. DGlucose control has been excellent for the past several months
5.中等

垂体手术后,一名患者每小时排出约 400 mL 淡色尿,比重 1.002,钠已升至 149 mEq/L。最可能的是哪种情况?

  1. A尿崩症
  2. BSIADH
  3. C急性肾损伤伴少尿
  4. D高血糖伴酮症酸中毒
6.中等

A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?

  1. AGive one sample of saliva collected from the mouth at any time of day
  2. BGive several deep-cough samples, often first thing in the morning
  3. CGive several samples of nasal mucus blown into a tissue
  4. DGive one sample after brushing with mouthwash so it is clean
7.困难

A patient started methimazole for hyperthyroidism 6 weeks ago and now has a fever and a severe sore throat. Which action is most important?

  1. AHold the drug and arrange an urgent white cell and neutrophil count
  2. BGive the next dose and suggest warm salt-water gargles for comfort
  3. CCheck the TSH and double the dose if it is still low
  4. DAdvise the patient to continue the drug and drink more fluid
8.困难

A patient with chronic kidney disease stage 4 has a high phosphate, a low-normal calcium and a very high parathyroid hormone (PTH). What does this show?

  1. ASecondary hyperparathyroidism from CKD
  2. BHypoparathyroidism after neck surgery
  3. CVitamin D toxicity from supplements
  4. DPrimary hyperparathyroidism from a tumor

答案

  1. 1. A · Low
  2. 2. B · Anti-CCP antibodies
  3. 3. C · About 0.4–4.0 mIU/L
  4. 4. C · Average glucose over the past months has been above the target
  5. 5. A · 尿崩症
  6. 6. B · Give several deep-cough samples, often first thing in the morning
  7. 7. A · Hold the drug and arrange an urgent white cell and neutrophil count
  8. 8. A · Secondary hyperparathyroidism from CKD

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