1.简单
成人血清白蛋白的典型参考范围是多少?
- A约 0.5–1.0 g/dL(5–10 g/L)
- B约 8.5–10.5 g/dL(85–105 g/L)
- C约 12–16 g/dL(120–160 g/L)
- D约 3.5–5.0 g/dL(35–50 g/L)
2.简单
实验室使用自己的参考范围将某项结果标为偏高,但该数值在你教科书的范围内。对这位患者应使用哪个范围?
- A你能在任何资料中找到的最宽的范围
- B进行检测的实验室的参考范围
- C你实习所在医院使用的范围
- D教科书的范围,因为教科书是国家标准
3.简单
The prostate-specific antigen (PSA) test is used mainly in relation to which organ?
- APancreas
- BThyroid gland
- CPituitary gland
- DProstate gland
4.中等
A patient on warfarin for atrial fibrillation has a target INR of 2.0–3.0. How does the usual target for a patient with a mechanical mitral valve compare?
- AHigher, about 2.5–3.5
- BLower, about 1.0–1.5
- CThe same, 2.0–3.0
- DMuch higher, about 5.0–6.0
5.中等
垂体手术后,一名患者每小时排出约 400 mL 淡色尿,比重 1.002,钠已升至 149 mEq/L。最可能的是哪种情况?
- ASIADH
- B急性肾损伤伴少尿
- C高血糖伴酮症酸中毒
- D尿崩症
6.中等
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
- AThe patient is injecting too much insulin and needs a lower dose
- BThe patient has high insulin resistance, as in type 2 diabetes
- CThe pancreas is making very little insulin, as in type 1 diabetes
- DThe kidneys are excreting all of the patient's insulin in urine
7.困难
A patient recovering from acute tubular necrosis now passes 4–5 L of urine a day. Which electrolyte changes should the nurse watch for?
- AHigh calcium and high phosphate from bone loss
- BNo changes, because the kidneys are now normal
- CHigh potassium and high sodium from retention
- DLow potassium and low sodium from urine losses
8.困难
A woman who is 34 weeks pregnant has high blood pressure, right upper abdominal pain, a platelet count of 70 × 10³/µL, raised ALT and AST, and a raised LDH. Which condition fits best?
- AGestational diabetes
- BPhysiologic anemia of pregnancy
- CHELLP syndrome
- DAcute cholecystitis
答案
- 1. D · 约 3.5–5.0 g/dL(35–50 g/L)
- 2. B · 进行检测的实验室的参考范围
- 3. D · Prostate gland
- 4. A · Higher, about 2.5–3.5
- 5. D · 尿崩症
- 6. C · The pancreas is making very little insulin, as in type 1 diabetes
- 7. D · Low potassium and low sodium from urine losses
- 8. C · HELLP syndrome
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