1.简单
Using American Diabetes Association (ADA) criteria, which HbA1c range is classed as prediabetes?
- A5.7–6.4% (39–47 mmol/mol)
- B4.0–5.6% (20–38 mmol/mol)
- C8.0–9.0% (64–75 mmol/mol)
- D6.5–7.5% (48–58 mmol/mol)
2.简单
What is the usual BUN-to-creatinine ratio in a healthy adult (using mg/dL)?
- AAbout 1:1 to 2:1
- BAbout 100:1 to 200:1
- CAbout 50:1 to 60:1
- DAbout 10:1 to 20:1
3.简单
Why is "free T4" often measured rather than total T4?
- AThe free form is the unbound, active hormone
- BThe free form is the only form made by the gland
- CThe free form is stored inside the pituitary
- DThe free form is the form excreted in urine
4.中等
How does the nurse start a 24-hour urine collection at 08:00?
- ACollect only the first urine passed on waking, and repeat this the next morning
- BHave the patient void and discard that urine, then save all urine until 08:00 the next day
- CSave the 08:00 urine as the first sample, then collect until 08:00 the next day
- DSave three samples spread across the day and discard all of the urine passed at night
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复述该数值,评估患者并通知医疗人员
- B记录该数值并交给下一班
- C等书面报告送到后再采取任何行动
- D在告诉任何人之前,先请实验室重复检测
6.中等
How should a blood sample for serum ammonia be handled?
- APlaced on ice and sent to the laboratory at once
- BKept warm and sent with the next routine batch
- CShaken firmly to mix it before it is sent away
- DLeft at room temperature for several hours first
7.困难
A patient on a stable dose of levothyroxine now has a TSH of 9.8 mIU/L. She recently started taking her calcium and iron supplements with her morning levothyroxine. What is the most likely explanation?
- AThe supplements are causing an overactive thyroid gland
- BThe supplements are reducing levothyroxine absorption
- CThe TSH is low, showing that the dose is now too high
- DThe result is normal for a person on levothyroxine therapy
8.困难
哪一组结果最能代表缺铁性贫血?
- A血红蛋白正常,仅血小板计数高
- B血红蛋白高和血细胞比容高
- C血红蛋白低、红细胞大(MCV 高)和铁蛋白高
- D血红蛋白低、红细胞小(MCV 低)和铁蛋白低
答案
- 1. A · 5.7–6.4% (39–47 mmol/mol)
- 2. D · About 10:1 to 20:1
- 3. A · The free form is the unbound, active hormone
- 4. B · Have the patient void and discard that urine, then save all urine until 08:00 the next day
- 5. A · 复述该数值,评估患者并通知医疗人员
- 6. A · Placed on ice and sent to the laboratory at once
- 7. B · The supplements are reducing levothyroxine absorption
- 8. D · 血红蛋白低、红细胞小(MCV 低)和铁蛋白低
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