1.简单
Why is "free T4" often measured rather than total T4?
- AThe free form is the only form made by the gland
- BThe free form is the form excreted in urine
- CThe free form is the unbound, active hormone
- DThe free form is stored inside the pituitary
2.简单
Which hemoglobin value in an adult man is within the typical reference range?
- A9.0 g/dL (90 g/L)
- B15.0 g/dL (150 g/L)
- C20.5 g/dL (205 g/L)
- D5.5 g/dL (55 g/L)
3.简单
What is a typical adult reference range for thyroid-stimulating hormone (TSH)?
- AAbout 10–20 mIU/L
- BAbout 0.01–0.04 mIU/L
- CAbout 40–80 mIU/L
- DAbout 0.4–4.0 mIU/L
4.中等
A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?
- AThe patient has developed acute pancreatitis
- BAn acute myocardial infarction has occurred
- CThe patient has developed acute hepatitis
- DStrenuous exercise raised CK from skeletal muscle
5.中等
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
- AA DVT is confirmed and anticoagulation is needed
- BA DVT is unlikely and can usually be ruled out
- CA pulmonary embolism is now certain to be present
- DThe test is useless and should always be ignored
6.中等
A patient has started parenteral nutrition (PN) through a central line. Which test is monitored most frequently in the first days?
- ABlood glucose
- BSerum lipase
- CHemoglobin A1c
- DThyroid hormones
7.困难
A patient has a continuous heparin infusion for a pulmonary embolism. A new nurse plans to adjust the infusion using today's INR of 1.1. What should the experienced nurse explain?
- AHeparin is adjusted using the aPTT or anti-Xa level, not the INR
- BHeparin needs no laboratory monitoring once the infusion is started
- CThe INR of 1.1 means the heparin rate must be doubled at once
- DThe INR is the correct test, and 1.1 means heparin is therapeutic
8.困难
在对生长迅速的淋巴瘤化疗后,哪种结果模式提示肿瘤溶解综合征?
- A低钾、低磷、低尿酸和高钙
- B仅有高钠和低血糖
- C电解质正常,血红蛋白高
- D高钾、高磷、高尿酸和低钙
答案
- 1. C · The free form is the unbound, active hormone
- 2. B · 15.0 g/dL (150 g/L)
- 3. D · About 0.4–4.0 mIU/L
- 4. D · Strenuous exercise raised CK from skeletal muscle
- 5. B · A DVT is unlikely and can usually be ruled out
- 6. A · Blood glucose
- 7. A · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
- 8. D · 高钾、高磷、高尿酸和低钙
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