1.简单
In iron-deficiency anemia, the transferrin saturation is usually:
- ALow
- BHigh
- CVariable
- DNormal
2.简单
Which antibody test is most specific for rheumatoid arthritis?
- AAntinuclear antibody
- BAnti-CCP antibodies
- CAnti-D antibody
- DAnti-HBs antibody
3.简单
What is a typical adult reference range for thyroid-stimulating hormone (TSH)?
- AAbout 0.01–0.04 mIU/L
- BAbout 10–20 mIU/L
- CAbout 0.4–4.0 mIU/L
- 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?
- AThe patient has had frequent episodes of severe hypoglycemia
- BThe result shows today's fasting glucose is above the target
- CAverage glucose over the past months has been above the target
- 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?
- A尿崩症
- BSIADH
- C急性肾损伤伴少尿
- 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?
- AGive one sample of saliva collected from the mouth at any time of day
- BGive several deep-cough samples, often first thing in the morning
- CGive several samples of nasal mucus blown into a tissue
- 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?
- AHold the drug and arrange an urgent white cell and neutrophil count
- BGive the next dose and suggest warm salt-water gargles for comfort
- CCheck the TSH and double the dose if it is still low
- 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?
- ASecondary hyperparathyroidism from CKD
- BHypoparathyroidism after neck surgery
- CVitamin D toxicity from supplements
- DPrimary hyperparathyroidism from a tumor
答案
- 1. A · Low
- 2. B · Anti-CCP antibodies
- 3. C · About 0.4–4.0 mIU/L
- 4. C · Average glucose over the past months has been above the target
- 5. A · 尿崩症
- 6. B · Give several deep-cough samples, often first thing in the morning
- 7. A · Hold the drug and arrange an urgent white cell and neutrophil count
- 8. A · Secondary hyperparathyroidism from CKD
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