Лабораторные показатели и электролиты: лист заданий с ответами

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1.Лёгкая

What does a raised D-dimer level show?

  1. AFibrin clots are being formed and broken down in the body
  2. BThe patient is taking too much warfarin
  3. CThe platelet count is too low to stop bleeding
  4. DThe liver is no longer able to make clotting factors
2.Лёгкая

A urine albumin-to-creatinine ratio (ACR) of at least which value is usually called moderately increased albuminuria?

  1. A30 mg/g (3 mg/mmol)
  2. B3,000 mg/g (300 mg/mmol)
  3. C3 mg/g (0,3 mg/mmol)
  4. D300 mg/dL (3 mg/mL)
3.Лёгкая

Vitamin B12 deficiency typically causes which type of anemia?

  1. AAplastic anemia, with an empty bone marrow
  2. BMicrocytic anemia, with small red cells
  3. CMacrocytic anemia, with large red cells
  4. DHemolytic anemia, with destroyed red cells
4.Средняя

A patient has a hot, swollen big toe. The serum uric acid is normal. Which statement is correct?

  1. AGout can only be diagnosed with a CT scan of the foot
  2. BGout is certain, as a normal urate proves the diagnosis
  3. CGout is ruled out, as uric acid is always high in an attack
  4. DGout is still possible, as urate can be normal in an attack
5.Средняя

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 virus has been completely cured and removed
  3. CThe treatment is suppressing the virus very well
  4. DThe treatment can now be stopped without any risk
6.Средняя

A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?

  1. AA serum lipase test
  2. BA thyroid panel test
  3. CA baseline HIV test
  4. DA sweat chloride test
7.Сложная

После химиотерапии быстрорастущей лимфомы какая картина результатов указывает на синдром лизиса опухоли?

  1. AТолько высокий натрий и низкая глюкоза
  2. BНормальные электролиты с высоким гемоглобином
  3. CВысокий калий, высокий фосфат, высокая мочевая кислота и низкий кальций
  4. DНизкий калий, низкий фосфат, низкая мочевая кислота и повышенный кальций
8.Сложная

A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T4 is low. What is the most likely explanation?

  1. AAmiodarone-induced hypothyroidism
  2. BAmiodarone-induced hyperthyroidism
  3. CA normal response to amiodarone needing no action
  4. DSecondary hypothyroidism from pituitary failure

Ответы

  1. 1. A · Fibrin clots are being formed and broken down in the body
  2. 2. A · 30 mg/g (3 mg/mmol)
  3. 3. C · Macrocytic anemia, with large red cells
  4. 4. D · Gout is still possible, as urate can be normal in an attack
  5. 5. C · The treatment is suppressing the virus very well
  6. 6. C · A baseline HIV test
  7. 7. C · Высокий калий, высокий фосфат, высокая мочевая кислота и низкий кальций
  8. 8. A · Amiodarone-induced hypothyroidism

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