1.简单
哪项发现是高血清镁的典型表现?
- A强烈的口渴
- B深腱反射减弱或消失
- C袖带充气时出现腕痉挛
- D反射亢进和肌肉抽搐
2.简单
Which hormone is measured in blood or urine to test for pregnancy?
- AAntidiuretic hormone (ADH)
- BFollicle-stimulating hormone (FSH)
- CThyroid-stimulating hormone (TSH)
- DHuman chorionic gonadotropin (hCG)
3.简单
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- AEats a normal meal, and glucose is checked once later that evening
- BDrinks a measured glucose solution, and glucose is checked 2 hours later
- CFasts for 3 days, and glucose is checked every morning before breakfast
- DReceives an insulin injection, and glucose is checked each hour
4.中等
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe virus has been completely cured and removed
- BThe treatment is suppressing the virus very well
- CThe treatment can now be stopped without any risk
- DThe CD4 count must now be dangerously low too
5.中等
为什么慢性肾脏病患者常有贫血?
- A尿毒症毒素使骨髓生成白细胞而不是红细胞
- B受损的肾脏过滤并破坏红细胞
- C肾病时的高钾使红细胞破裂
- D肾脏产生的促红细胞生成素减少,而它驱动红细胞的生成
6.中等
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
- AHigh TSH with a normal free T4
- BNormal TSH with a low free T4
- CHigh TSH with a low free T4
- DLow TSH with a high free T4
7.困难
A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?
- AIron overload, treated with iron chelation therapy
- BAcute infection, treated with broad-spectrum antibiotics
- CLiver failure, treated with a liver transplant at once
- DIron deficiency, treated with IV iron supplements
8.困难
A patient who had pituitary surgery has fatigue and cold intolerance. The free T4 is low and the TSH is low. What does this pattern suggest?
- AHyperthyroidism from overactivity of the thyroid gland
- BPrimary hypothyroidism from failure of the thyroid gland
- CNormal thyroid function with a laboratory error in T4
- DSecondary (central) hypothyroidism from pituitary failure
答案
- 1. B · 深腱反射减弱或消失
- 2. D · Human chorionic gonadotropin (hCG)
- 3. B · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 4. B · The treatment is suppressing the virus very well
- 5. D · 肾脏产生的促红细胞生成素减少,而它驱动红细胞的生成
- 6. D · Low TSH with a high free T4
- 7. A · Iron overload, treated with iron chelation therapy
- 8. D · Secondary (central) hypothyroidism from pituitary failure
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