1.简单
What is a typical reference range for the hematocrit in an adult woman?
- AAbout 10–15%
- BAbout 35–45%
- CAbout 20–28%
- DAbout 55–65%
2.简单
A laboratory reports that a blood sample is "hemolyzed." What does this mean?
- ARed cells in the sample have broken open
- BThe sample was taken from an artery
- CThe sample contains too many platelets
- DThe sample has a very low hemoglobin
3.简单
成人血清磷酸盐的典型参考范围是多少?
- A约 0.5–1.5 mg/dL(0.2–0.5 mmol/L)
- B约 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- C约 5.5–7.5 mg/dL(1.8–2.4 mmol/L)
- D约 8.5–10.5 mg/dL(2.1–2.6 mmol/L)
4.中等
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA high serum potassium
- BA low serum sodium
- CA low serum magnesium
- DA high serum calcium
5.中等
一名患者钠为 124 mEq/L,头痛并新出现意识模糊。哪项护理措施最恰当?
- A鼓励患者多喝白开水
- B提前给予处方的噻嗪类利尿剂
- C让患者平卧,并将神经系统检查限制为每班一次
- D采取癫痫预防措施并监测神经系统状态
6.中等
一名一小时前开始胸痛的患者首次肌钙蛋白正常。正确的解释是什么?
- A不能排除心肌梗死;应按规程重复检测肌钙蛋白
- B肌钙蛋白对胸痛患者没有用
- C已排除心肌梗死,因此不需要再检测肌钙蛋白
- D患者可以立即出院回家
7.困难
A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?
- ABleeding into the abdominal cavity
- BSpontaneous bacterial peritonitis
- CMalignant ascites from cancer
- DNormal ascitic fluid in cirrhosis
8.困难
一名酒精使用障碍的患者尽管补钾两天,钾仍为 3.0 mEq/L。镁为 0.9 mEq/L。最恰当的下一步是什么?
- A将钾剂量加倍,镁留到以后再补
- B停止所有电解质补充 24 小时后再复查
- C给予利尿剂排出过多的镁
- D补镁;低镁使肾脏持续丢失钾
答案
- 1. B · About 35–45%
- 2. A · Red cells in the sample have broken open
- 3. B · 约 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- 4. B · A low serum sodium
- 5. D · 采取癫痫预防措施并监测神经系统状态
- 6. A · 不能排除心肌梗死;应按规程重复检测肌钙蛋白
- 7. B · Spontaneous bacterial peritonitis
- 8. D · 补镁;低镁使肾脏持续丢失钾
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