1.简单
Which laboratory test is used to monitor warfarin therapy?
- AD-dimer
- BPT with INR
- CaPTT
- DPlatelet count
2.简单
How does dehydration usually affect the hematocrit?
- AIt lowers it
- BIt has no effect
- CIt makes it zero
- DIt raises it
3.简单
Which body system shows the main symptoms of a low serum sodium?
- AThe skeleton
- BThe nervous system
- CThe eyes only
- DThe skin and hair
4.中等
A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2.1 mmol/L). Which treatment is appropriate?
- AOrange juice poured slowly into the patient's mouth
- BGlucagon by injection, or IV dextrose as prescribed
- CA dose of rapid-acting insulin to stabilize the glucose
- DGlucose tablets placed between the patient's teeth
5.中等
一名患者今天的空腹血糖为 98 mg/dL(5.4 mmol/L),但 HbA1c 为 8.9%(74 mmol/mol)。最好的解释是什么?
- A患者没有糖尿病
- B过去 2–3 个月血糖控制不佳
- CHbA1c 只反映过去 24 小时
- D今天的良好结果表明糖尿病控制良好
6.中等
A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?
- AA rising serum calcium
- BA falling serum uric acid
- CA falling serum potassium
- DA rising white cell count
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?
- ACortisol is being produced without normal feedback control
- BThe adrenal glands are not able to produce enough cortisol
- CThe result is normal, as dexamethasone raises cortisol
- DThe patient has primary hypothyroidism instead
8.困难
A patient with acute pancreatitis has a rising BUN, a falling calcium and a glucose of 250 mg/dL (13.9 mmol/L) over the first 48 hours. What do these results suggest?
- AIncreasingly severe pancreatitis
- BA resolving, mild pancreatitis
- CAn unrelated new kidney stone
- DA lab error from lipemic samples
答案
- 1. B · PT with INR
- 2. D · It raises it
- 3. B · The nervous system
- 4. B · Glucagon by injection, or IV dextrose as prescribed
- 5. B · 过去 2–3 个月血糖控制不佳
- 6. B · A falling serum uric acid
- 7. A · Cortisol is being produced without normal feedback control
- 8. A · Increasingly severe pancreatitis
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