1.简单
What does the term pancytopenia mean?
- ALow red cells, white cells and platelets
- BHigh red cells, white cells and platelets
- CHigh white cells with low platelets
- DLow red cells with normal platelets
2.简单
Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?
- AIt is not affected by inflammation or liver disease
- BIt is measured in urine, so no blood test is needed
- CIt has a short half-life, so it changes within days
- DIt has a long half-life, so it changes over months
3.简单
Which drug commonly causes a low serum potassium?
- AAmiloride
- BSpironolactone
- CFurosemide
- DLisinopril
4.中等
An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?
- AThe drug and its metabolites build up and cause long lows
- BThe drug causes high potassium that lowers the glucose
- CThe drug makes the glucose meter read falsely low
- DThe drug stops working entirely when the kidneys fail
5.中等
A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?
- AALT and bilirubin
- BPotassium and creatinine
- CCalcium and phosphate
- DTSH and free T4
6.中等
A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?
- ASerum ammonia
- BSerum lipase
- CCardiac troponin
- DCreatine kinase (CK)
7.困难
A patient with schizophrenia drinks very large amounts of water each day. Sodium is 121 mEq/L, and the urine is very dilute (urine osmolality 70 mOsm/kg). Which explanation fits best?
- APrimary (psychogenic) polydipsia
- BCentral diabetes insipidus
- CSyndrome of inappropriate ADH
- DHyperosmolar hyperglycemic state
8.困难
A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?
- AA vaso-occlusive pain crisis in the bones
- BA normal finding in sickle cell disease
- CAn aplastic crisis, often caused by parvovirus B19
- DIron deficiency from a poor diet over months
答案
- 1. A · Low red cells, white cells and platelets
- 2. C · It has a short half-life, so it changes within days
- 3. C · Furosemide
- 4. A · The drug and its metabolites build up and cause long lows
- 5. B · Potassium and creatinine
- 6. D · Creatine kinase (CK)
- 7. A · Primary (psychogenic) polydipsia
- 8. C · An aplastic crisis, often caused by parvovirus B19
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