1.简单
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
- AInternational normalized ratio (INR)
- BPlatelet function assay (PFA-100 test)
- CErythrocyte sedimentation rate (ESR)
- DActivated partial thromboplastin time (aPTT)
2.简单
Which condition commonly causes a high serum potassium?
- ASevere diarrhea
- BKidney failure
- CLoop diuretic use
- DRepeated vomiting
3.简单
成人血清镁的典型参考范围是多少?
- A约 3.5–5.0 mEq/L(1.75–2.5 mmol/L)
- B约 6.0–8.0 mEq/L(3.0–4.0 mmol/L)
- C约 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- D约 0.3–0.7 mEq/L(0.15–0.35 mmol/L)
4.中等
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
- AThe patient has high insulin resistance, as in type 2 diabetes
- BThe patient is injecting too much insulin and needs a lower dose
- CThe pancreas is making very little insulin, as in type 1 diabetes
- DThe kidneys are excreting all of the patient's insulin in urine
5.中等
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA high serum calcium
- BA low serum magnesium
- CA high serum potassium
- DA low serum sodium
6.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
- BSerum glucose and ketones
- CSerum amylase and lipase
- DLiver enzymes and bilirubin
7.困难
A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?
- AThe patient has primary hypothyroidism instead
- BThe adrenal glands are not able to produce enough cortisol
- CCortisol is being produced without normal feedback control
- DThe result is normal, as dexamethasone raises cortisol
8.困难
A patient has a hematocrit of 60% and a raised red cell mass. Which result suggests polycythemia vera rather than secondary polycythemia from chronic hypoxia?
- AA high carboxyhemoglobin
- BA low oxygen saturation
- CA high erythropoietin level
- DA low erythropoietin level
答案
- 1. D · Activated partial thromboplastin time (aPTT)
- 2. B · Kidney failure
- 3. C · 约 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- 4. C · The pancreas is making very little insulin, as in type 1 diabetes
- 5. D · A low serum sodium
- 6. A · Hemoglobin and blood pressure
- 7. C · Cortisol is being produced without normal feedback control
- 8. D · A low erythropoietin level
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