1.简单
成人血清磷酸盐的典型参考范围是多少?
- A约 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- B约 5.5–7.5 mg/dL(1.8–2.4 mmol/L)
- C约 8.5–10.5 mg/dL(2.1–2.6 mmol/L)
- D约 0.5–1.5 mg/dL(0.2–0.5 mmol/L)
2.简单
Which laboratory test best reflects the body's iron stores?
- ASerum sodium
- BPlatelet count
- CSerum albumin
- DSerum ferritin
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 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- C约 0.3–0.7 mEq/L(0.15–0.35 mmol/L)
- D约 6.0–8.0 mEq/L(3.0–4.0 mmol/L)
4.中等
静脉注射葡萄糖酸钙如何帮助重度高钾血症患者?
- A增加肾脏对钾的排泄
- B在肠道中结合钾,使其随粪便排出
- C稳定心肌细胞膜,但不降低钾
- D使钾从血液转移到细胞内
5.中等
A patient is starting dabigatran, a direct oral anticoagulant. Which laboratory test is most important to review before the first dose?
- AKidney function (creatinine clearance)
- BTSH, to rule out an overactive thyroid gland
- CLipase, to rule out an inflamed pancreas first
- DINR, to set the dose of the anticoagulant
6.中等
一名患者的中性粒细胞绝对计数为 0.4 × 10³/µL。哪项措施是恰当的?
- A因读数更准确而经直肠测体温
- B把鲜花带进房间以提振患者的情绪
- C与另一位正在治疗肺炎的患者同住一室
- D严格的手卫生、体温检查,并禁止有感染的访客
7.困难
A middle-aged man has fatigue, joint pain, a raised ALT and new diabetes. His ferritin is very high and his transferrin saturation is above 60%. Which condition is most likely?
- AAcute viral hepatitis A
- BAnemia of chronic disease
- CHereditary hemochromatosis
- DIron-deficiency anemia
8.困难
The nurse teaches a patient with thrombocytopenia (platelets 25 × 10³/µL) about home safety. Which statement shows a need for further teaching?
- A"I'll use an electric razor to shave"
- B"I'll use a soft-bristled toothbrush"
- C"I'll blow my nose gently, not forcefully"
- D"I'll take aspirin if I get a headache"
答案
- 1. A · 约 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- 2. D · Serum ferritin
- 3. B · 约 1.3–2.1 mEq/L(0.65–1.05 mmol/L)
- 4. C · 稳定心肌细胞膜,但不降低钾
- 5. A · Kidney function (creatinine clearance)
- 6. D · 严格的手卫生、体温检查,并禁止有感染的访客
- 7. C · Hereditary hemochromatosis
- 8. D · "I'll take aspirin if I get a headache"
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