1.简单
成人血清钠的典型参考范围是多少?
- A3.5–5.0 mEq/L
- B150–165 mEq/L
- C135–145 mEq/L
- D95–105 mEq/L
2.简单
Which blood test is the usual measure of a person's vitamin D status?
- A1,25-dihydroxyvitamin D
- B25-hydroxyvitamin D
- CSerum phosphate
- DParathyroid hormone
3.简单
A raised neutrophil count (neutrophilia) is most typical of:
- AA mild viral cold
- BVitamin B12 deficiency
- CAcute bacterial infection
- DHay fever and asthma
4.中等
Which technique is recommended for a capillary blood glucose test on an adult's finger?
- APrick the center of the fingertip
- BSqueeze the finger very hard
- CUse the same finger every time
- DPrick the side of the fingertip
5.中等
一名因房颤服用华法林的患者 INR 为 1.4。这意味着什么?
- A患者不再需要服用华法林
- B患者出血风险很高,需要立即使用维生素 K
- C抗凝不足,更容易发生血栓和卒中
- D剂量恰到好处,无需改变
6.中等
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA low serum magnesium
- BA low serum sodium
- CA high serum potassium
- DA high serum calcium
7.困难
一名钠为 132 mEq/L、血糖为 600 mg/dL(33.3 mmol/L)的患者入院。为什么要谨慎解读钠的数值?
- A高血糖使测得的钠假性升高,因此实际上更低
- B高血糖把水吸入血液,稀释了钠
- C葡萄糖对测得的钠没有影响
- D钠的结果一定是实验室误差
8.困难
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?
- AAn oral potassium supplement with each meal
- BHigh-dose NSAIDs for the muscle pain
- CFluid restriction to protect the heart from overload
- DLarge-volume IV fluids with cardiac monitoring
答案
- 1. C · 135–145 mEq/L
- 2. B · 25-hydroxyvitamin D
- 3. C · Acute bacterial infection
- 4. D · Prick the side of the fingertip
- 5. C · 抗凝不足,更容易发生血栓和卒中
- 6. B · A low serum sodium
- 7. B · 高血糖把水吸入血液,稀释了钠
- 8. D · Large-volume IV fluids with cardiac monitoring
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