1.简单
In a healthy adult, the CSF glucose is usually about what proportion of the blood glucose?
- AAbout double (200%)
- BExactly the same (100%)
- CAbout two-thirds (60%)
- DAbout one tenth (10%)
2.简单
A raised serum uric acid is most closely linked to which condition?
- AGout
- BHypothyroidism
- CIron-deficiency anemia
- DOsteoporosis
3.简单
Which sample is commonly used to screen a patient for MRSA carriage on admission?
- AA blood culture from one arm
- BA sample of stool sent for culture
- CA clean-catch midstream urine sample
- DA swab from the front of the nose
4.中等
A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?
- AA sweat chloride test
- BA serum lipase test
- CA baseline HIV test
- DA thyroid panel test
5.中等
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe virus has been completely cured and removed
- BThe treatment is suppressing the virus very well
- CThe CD4 count must now be dangerously low too
- DThe treatment can now be stopped without any risk
6.中等
During a red cell transfusion, when are serious acute reactions most likely, so the nurse stays with the patient?
- AThe next morning
- BAfter the last drop is given
- CAfter about 2 hours
- DIn the first 15 minutes
7.困难
一名糖尿病酮症酸中毒患者正在接受静脉胰岛素输注。哪项实验室数值必须特别密切监测?
- A钠,因为胰岛素使肾脏排出大量的钠
- B钾,因为胰岛素使其进入细胞内,可能迅速下降
- C血红蛋白,因为胰岛素破坏红细胞
- D白蛋白,因为胰岛素使肝脏停止生成白蛋白
8.困难
A patient with sepsis has the following new results. Which set best shows organ dysfunction?
- AHemoglobin 12.5 g/dL, sodium 138 mEq/L, glucose 105 mg/dL
- BPlatelets 70 × 10³/µL, creatinine doubled, bilirubin raised
- CCalcium 9.4 mg/dL, phosphate 3.5 mg/dL, magnesium 1.9 mEq/L
- DWBC 11.5 × 10³/µL, potassium 4.2 mEq/L, albumin 3.8 g/dL
答案
- 1. C · About two-thirds (60%)
- 2. A · Gout
- 3. D · A swab from the front of the nose
- 4. C · A baseline HIV test
- 5. B · The treatment is suppressing the virus very well
- 6. D · In the first 15 minutes
- 7. B · 钾,因为胰岛素使其进入细胞内,可能迅速下降
- 8. B · Platelets 70 × 10³/µL, creatinine doubled, bilirubin raised
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