1.简单
血清地高辛常被引用的治疗范围是多少?
- A约 0.05–0.2 ng/mL
- B约 10–20 ng/mL
- C约 0.5–2.0 ng/mL
- D约 20–40 ng/mL
2.简单
哪个 HbA1c 值达到糖尿病通常的诊断阈值?
- A4.5%(26 mmol/mol)或更高
- B5.5%(37 mmol/mol)或更高
- C6.5%(48 mmol/mol)或更高
- D5.0%(31 mmol/mol)或更高
3.简单
Lactate is mainly produced when cells:
- ABreak down fat completely with oxygen
- BBreak down glucose without enough oxygen
- CStore glucose as glycogen in the muscles
- DBreak down protein in the liver for energy
4.中等
How does the nurse start a 24-hour urine collection at 08:00?
- AHave the patient void and discard that urine, then save all urine until 08:00 the next day
- BSave the 08:00 urine as the first sample, then collect until 08:00 the next day
- CSave three samples spread across the day and discard all of the urine passed at night
- DCollect only the first urine passed on waking, and repeat this the next morning
5.中等
一名意识清醒的患者血糖为 54 mg/dL(3.0 mmol/L),已摄入 15 g 速效碳水化合物。应在何时复测血糖?
- A约 15 分钟后
- B下一餐时
- C约 2 小时后
- D第二天早晨
6.中等
A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?
- ASalt substitutes protect against the potassium loss caused by this drug
- BSalt substitutes are fine as long as the patient drinks more water
- CSalt substitutes are safe because they contain only sodium chloride
- DMost salt substitutes contain potassium and can raise the level too high
7.困难
Three days after starting haloperidol, a patient has a temperature of 40 °C, severe muscle rigidity and confusion. Which laboratory result would the nurse expect?
- AA very high creatine kinase (CK)
- BA very high serum lithium
- CA very low white cell count
- DA very low serum sodium
8.困难
A patient with acute pancreatitis has a rising BUN, a falling calcium and a glucose of 250 mg/dL (13.9 mmol/L) over the first 48 hours. What do these results suggest?
- AAn unrelated new kidney stone
- BIncreasingly severe pancreatitis
- CA lab error from lipemic samples
- DA resolving, mild pancreatitis
答案
- 1. C · 约 0.5–2.0 ng/mL
- 2. C · 6.5%(48 mmol/mol)或更高
- 3. B · Break down glucose without enough oxygen
- 4. A · Have the patient void and discard that urine, then save all urine until 08:00 the next day
- 5. A · 约 15 分钟后
- 6. D · Most salt substitutes contain potassium and can raise the level too high
- 7. A · A very high creatine kinase (CK)
- 8. B · Increasingly severe pancreatitis
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