1.简单
成人血清白蛋白的典型参考范围是多少?
- A约 8.5–10.5 g/dL(85–105 g/L)
- B约 3.5–5.0 g/dL(35–50 g/L)
- C约 12–16 g/dL(120–160 g/L)
- D约 0.5–1.0 g/dL(5–10 g/L)
2.简单
About what proportion of total serum calcium is in the free (ionized) form?
- AAbout one tenth
- BAbout half
- CNearly all
- DAlmost none
3.简单
成人血清肌酐的典型参考范围是多少?
- A约 10–20 mg/dL
- B约 3.5–5.0 mg/dL
- C约 0.6–1.2 mg/dL
- D约 135–145 mg/dL
4.中等
A patient with joint aches has a positive antinuclear antibody (ANA) test. Which statement is correct?
- AA positive ANA means the patient has a viral infection
- BA positive ANA rules out all other autoimmune diseases
- CA positive ANA supports lupus but does not diagnose it alone
- DA positive ANA proves the patient has rheumatoid arthritis
5.中等
实验室打电话到病房报告钾的危急值 6.9 mEq/L。护士应怎么做?
- A等书面报告送到后再采取任何行动
- B在告诉任何人之前,先请实验室重复检测
- C记录该数值并交给下一班
- D复述该数值,评估患者并通知医疗人员
6.中等
In the US, when is a pregnant woman without known risk factors usually screened for gestational diabetes?
- AAt about 38–40 weeks of pregnancy
- BOnly after the baby is born
- CAt about 6–8 weeks of pregnancy
- DAt about 24–28 weeks of pregnancy
7.困难
The nurse teaches a patient with iron-deficiency anemia who is starting oral iron. Which statement shows a need for further teaching?
- A"I'll keep the tablets out of reach of the children"
- B"My stools may look darker while I take the tablets"
- C"I can take it with orange juice to help absorption"
- D"I'll take my iron tablet with a big glass of milk"
8.困难
A 68-year-old man has fatigue, a hemoglobin of 9.8 g/dL (98 g/L), an MCV of 72 fL and a low ferritin. He eats a normal diet. What is the most important next step?
- AStart vitamin B12 injections
- BRepeat the blood count in one year
- CLook for a source of blood loss in the gut
- DGive iron and do no further tests at all
答案
- 1. B · 约 3.5–5.0 g/dL(35–50 g/L)
- 2. B · About half
- 3. C · 约 0.6–1.2 mg/dL
- 4. C · A positive ANA supports lupus but does not diagnose it alone
- 5. D · 复述该数值,评估患者并通知医疗人员
- 6. D · At about 24–28 weeks of pregnancy
- 7. D · "I'll take my iron tablet with a big glass of milk"
- 8. C · Look for a source of blood loss in the gut
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