1.简单
Where are urinary casts formed?
- AIn the urethra
- BIn the kidney tubules
- CIn the urinary bladder
- DIn the ureters
2.简单
Using American Diabetes Association (ADA) criteria, a fasting plasma glucose of 100–125 mg/dL (5.6–6.9 mmol/L) is classed as:
- ANormal fasting glucose for an adult
- BPrediabetes (impaired fasting glucose)
- CType 1 diabetes mellitus
- DMild hypoglycemia (low glucose)
3.简单
Vitamin B12 deficiency typically causes which type of anemia?
- AMicrocytic anemia, with small red cells
- BHemolytic anemia, with destroyed red cells
- CMacrocytic anemia, with large red cells
- DAplastic anemia, with an empty bone marrow
4.中等
A patient had a total thyroidectomy yesterday. Which laboratory value is most important to monitor in the first days after surgery?
- ASerum sodium
- BSerum potassium
- CSerum glucose
- DSerum calcium
5.中等
一名患者的血红蛋白为 7.8 g/dL(78 g/L)。护士预期会有哪些发现?
- A心率慢、皮肤潮红和血压高
- B疲劳、苍白、心率快和活动时呼吸急促
- C瘙痒、皮肤发黄和尿色深
- D头痛、鼻出血和面色发红
6.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低钾使地高辛无效,所以应将剂量加倍
- 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钾与地高辛没有相互作用
7.困难
A patient's potassium is 7.2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?
- AAn oral potassium binder dose
- BUrgent hemodialysis session
- CIV calcium gluconate (or chloride)
- DIV furosemide (a loop diuretic)
8.困难
一名新发深静脉血栓的患者正在使用肝素输注,华法林刚开始使用。为什么肝素要持续使用数日?
- A肝素增加华法林在肠道的吸收
- B只有同时给予肝素,华法林才起作用
- C肝素预防华法林的副作用
- D华法林需要数日才能达到完全的抗凝效果
答案
- 1. B · In the kidney tubules
- 2. B · Prediabetes (impaired fasting glucose)
- 3. C · Macrocytic anemia, with large red cells
- 4. D · Serum calcium
- 5. B · 疲劳、苍白、心率快和活动时呼吸急促
- 6. B · 低钾增加地高辛中毒的风险
- 7. C · IV calcium gluconate (or chloride)
- 8. D · 华法林需要数日才能达到完全的抗凝效果
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