1.简单
In many US nursing references, what is the commonly cited therapeutic range for serum lithium in maintenance therapy?
- AAbout 0.6–1.2 mEq/L
- BAbout 10–20 mEq/L
- CAbout 3.5–5.0 mEq/L
- DAbout 2.0–3.0 mEq/L
2.简单
What does the reticulocyte count measure?
- AYoung red blood cells recently released from the bone marrow
- BOld red blood cells that are being removed by the spleen
- CPlatelets that are larger than normal in size
- DImmature white blood cells released during infection
3.简单
A raised serum uric acid is most closely linked to which condition?
- AHypothyroidism
- BGout
- CIron-deficiency anemia
- DOsteoporosis
4.中等
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
- AUnderfilled tubes always give a falsely low hemoglobin and hematocrit
- BThe blood-to-anticoagulant ratio must be right for accurate clotting times
- CAn overfull tube is needed to measure the potassium level
- DThe laboratory charges extra when a tube is not filled correctly
5.中等
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
- AReference ranges are the same in every laboratory worldwide
- BReference ranges include every healthy person without exception
- CRanges cover about 95% of healthy people, so some fall outside
- DAny result outside the range always means disease is present
6.中等
哪种治疗通过使钾进入细胞内来降低血清钾?
- A静脉注射普通胰岛素并配合葡萄糖
- B静脉输注 0.45% 氯化钠
- C在 10 分钟内静脉注射葡萄糖酸钙
- D口服氯化钾补充剂
7.困难
A patient's results: sodium 140 mEq/L, chloride 100 mEq/L, bicarbonate 12 mEq/L. What is the anion gap, and what does it suggest?
- A12 mEq/L, a normal anion gap
- B52 mEq/L, a very high anion gap
- C28 mEq/L, a high anion gap
- D40 mEq/L, a high anion gap
8.困难
A patient with acute kidney injury has a potassium of 6.8 mEq/L despite medical treatment, a pH of 7.12 and pulmonary edema not responding to diuretics. Which treatment is most likely needed?
- AMore oral fluid
- BUrgent dialysis
- CAn IV magnesium dose
- DA potassium supplement
答案
- 1. A · About 0.6–1.2 mEq/L
- 2. A · Young red blood cells recently released from the bone marrow
- 3. B · Gout
- 4. B · The blood-to-anticoagulant ratio must be right for accurate clotting times
- 5. C · Ranges cover about 95% of healthy people, so some fall outside
- 6. A · 静脉注射普通胰岛素并配合葡萄糖
- 7. C · 28 mEq/L, a high anion gap
- 8. B · Urgent dialysis
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