1.简单
A tuberculin skin test (TST) is read as positive. What does this mean?
- AThe person has never been exposed to TB bacteria
- BThe person definitely has active, contagious pulmonary TB
- CThe person has been infected with TB bacteria at some point
- DThe person is fully immune and can never develop TB
2.简单
在呼吸困难的患者中,B 型利钠肽(BNP)升高最有力地支持哪种疾病?
- A惊恐发作
- B心力衰竭
- C哮喘发作
- D肺炎
3.简单
一位老年人被发现倒在地上,已躺了许多小时。哪项血液检查最能显示骨骼肌的破坏(横纹肌溶解)?
- A血清白蛋白
- B肌酸激酶(CK)
- C血清脂肪酶
- D糖化血红蛋白(HbA1c)
4.中等
A patient has taken a proton pump inhibitor (such as omeprazole) for many years and now has muscle cramps and tremor. Which electrolyte is most likely to be low?
- APhosphate
- BMagnesium
- CChloride
- DSodium
5.中等
在给予处方的静脉氯化钾之前,哪项评估最重要?
- A双耳听力
- B尿量和肾功能
- C前臂皮肤弹性
- D瞳孔大小和对光反应
6.中等
Which instruction is correct for a patient taking an oral potassium chloride supplement?
- AUse a salt substitute as well, so less of the tablet is needed each day
- BTake it with food and a full glass of water, and do not crush extended-release tablets
- CTake it on an empty stomach with only a small sip of water to speed absorption
- DCrush the extended-release tablets and mix them with a little water if needed
7.困难
A young woman with frequent self-induced vomiting has swollen salivary glands. Which laboratory pattern is most likely?
- AHigh potassium, low bicarbonate and low amylase
- BLow sodium, low bicarbonate and high lipase
- CHigh calcium, high phosphate and high glucose
- DLow potassium, high bicarbonate and high amylase
8.困难
A patient with jaundice and nausea has a positive IgM antibody to hepatitis A virus (IgM anti-HAV). What does this show?
- APast hepatitis B infection that has cleared
- BChronic hepatitis A lasting many years
- CA current or recent hepatitis A infection
- DImmunity from hepatitis A vaccine long ago
答案
- 1. C · The person has been infected with TB bacteria at some point
- 2. B · 心力衰竭
- 3. B · 肌酸激酶(CK)
- 4. B · Magnesium
- 5. B · 尿量和肾功能
- 6. B · Take it with food and a full glass of water, and do not crush extended-release tablets
- 7. D · Low potassium, high bicarbonate and high amylase
- 8. C · A current or recent hepatitis A infection
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