1.简单
What is the purpose of a type and crossmatch before a transfusion?
- ATo test the donor blood for bacterial contamination only
- BTo find out how quickly the patient's blood forms a clot
- CTo measure how much iron is stored in the patient's bone marrow
- DTo check that donor blood is compatible with the patient's blood
2.简单
成人血小板计数的典型参考范围是多少?
- A约 12–16 × 10³/µL(12–16 × 10⁹/L)
- B约 150–400 × 10³/µL(150–400 × 10⁹/L)
- C约 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
- D约 1000–2000 × 10³/µL(1000–2000 × 10⁹/L)
3.简单
细胞内液中的主要阳离子是哪种?
- A钠
- B钙
- C钾
- D氯
4.中等
A patient takes valproate (valproic acid) for epilepsy. Which tests are monitored regularly?
- ASerum lithium and urine specific gravity
- BLiver function tests and platelet count
- CTroponin and B-type natriuretic peptide
- DThyroid function and serum calcium
5.中等
A patient starts high-dose prednisone. Which laboratory change should the nurse expect?
- AA rise in blood glucose
- BA rise in serum potassium
- CA fall in the white cell count
- DA fall in serum sodium
6.中等
A patient is starting atorvastatin. Which laboratory test is usually checked at baseline?
- ASerum lipase
- BBlood cultures
- CThyroid antibodies
- DLiver enzymes
7.困难
A young woman with frequent self-induced vomiting has swollen salivary glands. Which laboratory pattern is most likely?
- AHigh calcium, high phosphate and high glucose
- BLow potassium, high bicarbonate and high amylase
- CLow sodium, low bicarbonate and high lipase
- DHigh potassium, low bicarbonate and low amylase
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?
- AGive iron and do no further tests at all
- BRepeat the blood count in one year
- CLook for a source of blood loss in the gut
- DStart vitamin B12 injections
答案
- 1. D · To check that donor blood is compatible with the patient's blood
- 2. B · 约 150–400 × 10³/µL(150–400 × 10⁹/L)
- 3. C · 钾
- 4. B · Liver function tests and platelet count
- 5. A · A rise in blood glucose
- 6. D · Liver enzymes
- 7. B · Low potassium, high bicarbonate and high amylase
- 8. C · Look for a source of blood loss in the gut
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