1.简单
What is the usual BUN-to-creatinine ratio in a healthy adult (using mg/dL)?
- AAbout 10:1 to 20:1
- BAbout 50:1 to 60:1
- CAbout 1:1 to 2:1
- DAbout 100:1 to 200:1
2.简单
A tuberculin skin test (TST) is read as positive. What does this mean?
- AThe person definitely has active, contagious pulmonary TB
- BThe person has been infected with TB bacteria at some point
- CThe person is fully immune and can never develop TB
- DThe person has never been exposed to TB bacteria
3.简单
叩击耳前的面神经会使口角抽动。这个体征叫什么,提示什么?
- ATrousseau 征,提示高钙
- BHomans 征,提示高钾
- CBabinski 征,提示低钠
- DChvostek 征,提示低钙
4.中等
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
- AThe glucose will not change
- BIn the afternoon and evening
- CIn the early morning, before the dose
- DAt midnight only
5.中等
一名该服地高辛的患者钾为 3.1 mEq/L。为什么这个结果很重要?
- A钾与地高辛没有相互作用
- B低钾增加地高辛中毒的风险
- C低钾可保护心脏免受地高辛副作用的影响
- D低钾使地高辛无效,所以应将剂量加倍
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 without symptoms has a TSH of 7.5 mIU/L on two occasions with a normal free T4. Which term fits best?
- ASubclinical hyperthyroidism
- BSubclinical hypothyroidism
- COvert primary hypothyroidism
- DSecondary hypothyroidism
8.困难
Two weeks after a sore throat, a child develops dark (cola-colored) urine, puffy eyes and high blood pressure. Urinalysis shows red cell casts and protein. Which condition is most likely?
- ALower urinary tract infection (cystitis)
- BPrerenal acute kidney injury
- CKidney stone in the ureter
- DPost-streptococcal glomerulonephritis
答案
- 1. A · About 10:1 to 20:1
- 2. B · The person has been infected with TB bacteria at some point
- 3. D · Chvostek 征,提示低钙
- 4. B · In the afternoon and evening
- 5. B · 低钾增加地高辛中毒的风险
- 6. D · Low TSH with a high free T4
- 7. B · Subclinical hypothyroidism
- 8. D · Post-streptococcal glomerulonephritis
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