1.简单
对于未使用抗凝剂的人,INR 通常约为:
- A3.5–4.5
- B0.8–1.2
- C5.0–6.0
- D2.0–3.0
2.简单
血清渗透压的典型参考范围是多少?
- A约 135–145 mOsm/kg
- B约 275–295 mOsm/kg
- C约 50–100 mOsm/kg
- D约 400–500 mOsm/kg
3.简单
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
- AActivated partial thromboplastin time (aPTT)
- BPlatelet function assay (PFA-100 test)
- CInternational normalized ratio (INR)
- DErythrocyte sedimentation rate (ESR)
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 patient must have a different disease instead
- CThe disease is certain, so treatment should begin
- DThe result cannot be used, because sensitivity is high
5.中等
A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?
- APlasma volume rises more than red cell mass, diluting the blood
- BThe fetus is destroying the mother's red cells in the circulation
- CPregnancy hormones stop the bone marrow from making red cells
- DIron is being lost through the kidneys during the pregnancy
6.中等
A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?
- AFrom the right arm
- BFrom the left wrist
- CFrom the fistula
- DFrom the left hand
7.困难
A nursing student has a positive interferon-gamma release assay (IGRA) for tuberculosis, no symptoms and a normal chest X-ray. What does this most likely mean?
- APast BCG vaccination only, with no infection
- BActive pulmonary TB, which is contagious
- CA false result, as the test does not detect TB
- DLatent TB infection, which is not contagious
8.困难
A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T4 and no symptoms. What is the most likely explanation?
- AhCG stimulates the thyroid in early pregnancy
- BShe has developed Graves disease in pregnancy
- CShe has pituitary failure from the pregnancy
- DThe result shows severe primary hypothyroidism
答案
- 1. B · 0.8–1.2
- 2. B · 约 275–295 mOsm/kg
- 3. A · Activated partial thromboplastin time (aPTT)
- 4. A · The disease is unlikely, so it helps rule it out
- 5. A · Plasma volume rises more than red cell mass, diluting the blood
- 6. A · From the right arm
- 7. D · Latent TB infection, which is not contagious
- 8. A · hCG stimulates the thyroid in early pregnancy
完整分步解答:请在 examproblems.com 上练习本主题。