Лабораторные показатели и электролиты: лист заданий с ответами

Serum creatinine comes mainly from:

1. AThe breakdown of old red cells in the spleen
2. BThe breakdown of dietary fat in the liver
3. CThe normal breakdown of creatine in muscle
4. DThe digestion of protein by gut bacteria

What does a "culture and sensitivity" test of a sample show?

1. AThe amount of antibiotic in the patient's blood
2. BHow many white cells are present in the sample
3. CWhether the patient is allergic to an antibiotic
4. DWhich organism grows and which antibiotics work on it

Какой лабораторный показатель чаще всего повышен при остром панкреатите?

1. AГликированный гемоглобин
2. BТропонин сыворотки
3. CАльбумин сыворотки
4. DЛипаза сыворотки

A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?

1. AThe CD4 count must now be dangerously low too
2. BThe treatment is suppressing the virus very well
3. CThe virus has been completely cured and removed
4. DThe treatment can now be stopped without any risk

Пациент получает подкожно эноксапарин (низкомолекулярный гепарин). Какое утверждение о мониторинге верно?

1. AМНО используется для подбора каждой дозы, как при варфарине
2. BaPTT нужно проверять каждые 6 часов для подбора дозы
3. CРутинный aPTT не нужен; вместо этого проверяют тромбоциты и функцию почек
4. DНикакие анализы крови не нужны ни при каких обстоятельствах

A patient has a calcium of 11,8 mg/dL (2,95 mmol/L) from bone metastases. Which nursing measure is appropriate?

1. AOffer extra milk and cheese at each meal
2. BGive calcium carbonate antacids for nausea
3. CEncourage fluids and mobility as tolerated
4. DEncourage bed rest and limit oral fluids

Which set of results most strongly suggests hemolytic anemia?

1. ALow hemoglobin, low reticulocytes, low MCV, low ferritin
2. BLow hemoglobin, high MCV, low vitamin B₁₂, normal bilirubin
3. CLow hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
4. DLow hemoglobin, low platelets, low white cells, low reticulocytes

A patient has fatigue, weight gain and constipation. Results: TSH 24 mIU/L, free T₄ low, total cholesterol 285 mg/dL (7,4 mmol/L), sodium 131 mEq/L. What is the best interpretation?

1. AHyperthyroidism, with suppressed thyroid hormone production
2. BSecondary hypothyroidism from failure of the pituitary gland
3. CPrimary hypothyroidism, which can raise lipids and lower sodium
4. DFamilial hypercholesterolemia, unrelated to the thyroid results