1.简单
What does the term "left shift" mean on a white cell differential?
- AMore lymphocytes than neutrophils in the blood
- BA fall in all the white cell types together
- CMore immature neutrophils (bands) than normal
- DA rise in the number of eosinophils
2.简单
Which blood marker is the most specific for injury to the heart muscle?
- ATotal creatine kinase
- BCardiac troponin
- CLactate dehydrogenase
- DSerum myoglobin
3.简单
What is a typical reference range for the reticulocyte count in an adult?
- AAbout 40–50% of red cells
- BAbout 0.01–0.05% of red cells
- CAbout 10–20% of red cells
- DAbout 0.5–2% of red cells
4.中等
A test has very high sensitivity for a disease. What does a negative result mean?
- AThe result cannot be used, because sensitivity is high
- BThe patient must have a different disease instead
- CThe disease is unlikely, so it helps rule it out
- DThe disease is certain, so treatment should begin
5.中等
A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2.1 mmol/L). Which treatment is appropriate?
- AGlucagon by injection, or IV dextrose as prescribed
- BGlucose tablets placed between the patient's teeth
- CA dose of rapid-acting insulin to stabilize the glucose
- DOrange juice poured slowly into the patient's mouth
6.中等
A patient with chronic kidney disease has a potassium of 5.6 mEq/L. Which food should the nurse advise the patient to limit?
- AApples
- BWhite rice
- CBananas
- DCabbage
7.困难
一名血小板计数为 35 × 10³/µL 的患者被开具肌内注射。护士应怎么做?
- A询问开医嘱者是否可以改用其他途径
- B注射后热敷
- C按处方注射,并用力按摩注射部位
- D用更长的针头注射
8.困难
A 68-year-old man has fatigue, a hemoglobin of 9.8 g/dL (98 g/L), an MCV of 72 fL and a low ferritin. He eats a normal diet. What is the most important next step?
- AStart vitamin B12 injections
- BGive iron and do no further tests at all
- CLook for a source of blood loss in the gut
- DRepeat the blood count in one year
答案
- 1. C · More immature neutrophils (bands) than normal
- 2. B · Cardiac troponin
- 3. D · About 0.5–2% of red cells
- 4. C · The disease is unlikely, so it helps rule it out
- 5. A · Glucagon by injection, or IV dextrose as prescribed
- 6. C · Bananas
- 7. A · 询问开医嘱者是否可以改用其他途径
- 8. C · Look for a source of blood loss in the gut
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