1.简单
What does the red cell distribution width (RDW) describe?
- AHow many red cells are young cells
- BHow much the red cells vary in size
- CHow fast the red cells settle in a tube
- DHow long red cells survive in the blood
2.简单
In the US (NCEP ATP III) classification, which LDL cholesterol level is called optimal for an adult?
- ABelow 100 mg/dL (2.6 mmol/L)
- BAbout 220–260 mg/dL (5.7–6.7 mmol/L)
- CAbout 190 mg/dL (4.9 mmol/L) or more
- DAbout 160–189 mg/dL (4.1–4.9 mmol/L)
3.简单
Which ECG change is linked to hypercalcemia?
- AProminent U waves
- BA prolonged QT interval
- CA shortened QT interval
- DTall, peaked T waves
4.中等
在慢性肾脏病中,血清磷酸盐升高通常伴有钙的哪种变化?
- A仅血清钾升高,钙无变化
- B血清钙降低
- C钙无变化
- D血清钙升高
5.中等
A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?
- AThe patient has stopped the drug
- BThe levothyroxine dose is too low
- CThe thyroid is now completely normal
- DThe levothyroxine dose is too high
6.中等
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
- ARanges cover about 95% of healthy people, so some fall outside
- BReference ranges are the same in every laboratory worldwide
- CAny result outside the range always means disease is present
- DReference ranges include every healthy person without exception
7.困难
The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?
- A"I'll fast overnight but can drink plain water"
- B"I'll stay seated during the test if I can"
- C"I'll avoid smoking until the test is over"
- D"I can have a light breakfast before the test"
8.困难
After a crush injury, a patient's urine dipstick is strongly positive for blood, but microscopy shows almost no red cells. CK is very high. What best explains this?
- AA kidney stone is scraping the ureter lining
- BThe sample was contaminated with menstrual blood
- CMyoglobin from damaged muscle is in the urine
- DBleeding is coming from the bladder lining
答案
- 1. B · How much the red cells vary in size
- 2. A · Below 100 mg/dL (2.6 mmol/L)
- 3. C · A shortened QT interval
- 4. B · 血清钙降低
- 5. D · The levothyroxine dose is too high
- 6. A · Ranges cover about 95% of healthy people, so some fall outside
- 7. D · "I can have a light breakfast before the test"
- 8. C · Myoglobin from damaged muscle is in the urine
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