实验室检查值与电解质练习卷(附答案)

免费可打印的实验室检查值与电解质练习卷:8 道题,从简单到考试水平,附答案。可打印或另存为 PDF。

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姓名: ____________________   日期: ____________

1.简单

Why is "free T4" often measured rather than total T4?

  1. AThe free form is the only form made by the gland
  2. BThe free form is the form excreted in urine
  3. CThe free form is the unbound, active hormone
  4. DThe free form is stored inside the pituitary
2.简单

Which hemoglobin value in an adult man is within the typical reference range?

  1. A9.0 g/dL (90 g/L)
  2. B15.0 g/dL (150 g/L)
  3. C20.5 g/dL (205 g/L)
  4. D5.5 g/dL (55 g/L)
3.简单

What is a typical adult reference range for thyroid-stimulating hormone (TSH)?

  1. AAbout 10–20 mIU/L
  2. BAbout 0.01–0.04 mIU/L
  3. CAbout 40–80 mIU/L
  4. 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?

  1. AThe patient has developed acute pancreatitis
  2. BAn acute myocardial infarction has occurred
  3. CThe patient has developed acute hepatitis
  4. 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?

  1. AA DVT is confirmed and anticoagulation is needed
  2. BA DVT is unlikely and can usually be ruled out
  3. CA pulmonary embolism is now certain to be present
  4. 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?

  1. ABlood glucose
  2. BSerum lipase
  3. CHemoglobin A1c
  4. 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?

  1. AHeparin is adjusted using the aPTT or anti-Xa level, not the INR
  2. BHeparin needs no laboratory monitoring once the infusion is started
  3. CThe INR of 1.1 means the heparin rate must be doubled at once
  4. 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?

  1. A低钾、低磷、低尿酸和高钙
  2. B仅有高钠和低血糖
  3. C电解质正常,血红蛋白高
  4. D高钾、高磷、高尿酸和低钙

答案

  1. 1. C · The free form is the unbound, active hormone
  2. 2. B · 15.0 g/dL (150 g/L)
  3. 3. D · About 0.4–4.0 mIU/L
  4. 4. D · Strenuous exercise raised CK from skeletal muscle
  5. 5. B · A DVT is unlikely and can usually be ruled out
  6. 6. A · Blood glucose
  7. 7. A · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
  8. 8. D · 高钾、高磷、高尿酸和低钙

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