उत्तरों सहित प्रयोगशाला मान और इलेक्ट्रोलाइट वर्कशीट

साँस फूलने वाले रोगी में बढ़ा हुआ B-टाइप नैट्रियूरेटिक पेप्टाइड (BNP) स्तर किस स्थिति का सबसे अधिक समर्थन करता है?

1. Aपैनिक अटैक
2. Bनिमोनिया
3. Cहृदय विफलता
4. Dदमे का दौरा

Which blood group is the universal donor for red blood cells in an emergency?

1. AGroup A, Rh negative
2. BGroup AB, Rh positive
3. CGroup B, Rh positive
4. DGroup O, Rh negative

Which blood marker is the most specific for injury to the heart muscle?

1. ALactate dehydrogenase
2. BCardiac troponin
3. CTotal creatine kinase
4. DSerum myoglobin

A patient is starting dabigatran, a direct oral anticoagulant. Which laboratory test is most important to review before the first dose?

1. AKidney function (creatinine clearance)
2. BTSH, to rule out an overactive thyroid gland
3. CLipase, to rule out an inflamed pancreas first
4. DINR, to set the dose of the anticoagulant

A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?

1. AA sudden failure of the bone marrow
2. BDilution of the blood by the IV fluid
3. CIncreased red cell production
4. DA laboratory error in the first sample

A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?

1. AThe test is useless and should always be ignored
2. BA pulmonary embolism is now certain to be present
3. CA DVT is confirmed and anticoagulation is needed
4. DA DVT is unlikely and can usually be ruled out

A patient on stable digoxin starts amiodarone. A week later, the patient has nausea and visual changes, and the digoxin level is above the range. What is the most likely explanation?

1. AThe patient has started a viral illness
2. BAmiodarone has lowered potassium only
3. CDigoxin has raised the amiodarone level
4. DAmiodarone has raised the digoxin level

Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?

1. AAssess neurological status and report it at once as possible brain bleeding
2. BGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
3. CEncourage the patient to drink more fluids and check the blood pressure later
4. DDim the lights and encourage rest, as headaches are common after chemotherapy