1.简单
Which substance contributes most to normal serum osmolality?
- AGlucose in plasma
- BPlasma albumin
- CUrea (from BUN)
- DSodium and its anions
2.简单
What is a typical reference range for urine specific gravity in an adult?
- AAbout 1.005–1.030
- BAbout 1.100–1.300
- CAbout 0.900–0.990
- DAbout 1.040–1.060
3.简单
Uric acid in the blood is a breakdown product of:
- APurines
- BGlucose
- CFats
- DHemoglobin
4.中等
A patient with joint aches has a positive antinuclear antibody (ANA) test. Which statement is correct?
- AA positive ANA means the patient has a viral infection
- BA positive ANA proves the patient has rheumatoid arthritis
- CA positive ANA rules out all other autoimmune diseases
- DA positive ANA supports lupus but does not diagnose it alone
5.中等
A patient with chronic kidney disease receives an erythropoiesis-stimulating agent such as epoetin alfa. Which assessments are most important?
- AHemoglobin and blood pressure
- BLiver enzymes and bilirubin
- CSerum amylase and lipase
- DSerum glucose and ketones
6.中等
In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?
- AA normal rise from placental ALP
- BA sign of new bone cancer
- CA sign of acute viral hepatitis
- DA sign of blocked bile ducts
7.困难
A patient with jaundice and nausea has a positive IgM antibody to hepatitis A virus (IgM anti-HAV). What does this show?
- APast hepatitis B infection that has cleared
- BChronic hepatitis A lasting many years
- CImmunity from hepatitis A vaccine long ago
- DA current or recent hepatitis A infection
8.困难
A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?
- ACalcium supplements and a high-phosphate diet during treatment
- BNo special measures, because the risk starts only after a week
- CIV hydration, a uric acid-lowering drug and frequent electrolytes
- DFluid restriction and a high-potassium diet before the treatment
答案
- 1. D · Sodium and its anions
- 2. A · About 1.005–1.030
- 3. A · Purines
- 4. D · A positive ANA supports lupus but does not diagnose it alone
- 5. A · Hemoglobin and blood pressure
- 6. A · A normal rise from placental ALP
- 7. D · A current or recent hepatitis A infection
- 8. C · IV hydration, a uric acid-lowering drug and frequent electrolytes
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