Лабораторные показатели и электролиты: лист заданий с ответами
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1.Лёгкая
What does a raised D-dimer level show?
AFibrin clots are being formed and broken down in the body
BThe patient is taking too much warfarin
CThe platelet count is too low to stop bleeding
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?
A30 mg/g (3 mg/mmol)
B3,000 mg/g (300 mg/mmol)
C3 mg/g (0,3 mg/mmol)
D300 mg/dL (3 mg/mL)
3.Лёгкая
Vitamin B12 deficiency typically causes which type of anemia?
AAplastic anemia, with an empty bone marrow
BMicrocytic anemia, with small red cells
CMacrocytic anemia, with large red cells
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?
AGout can only be diagnosed with a CT scan of the foot
BGout is certain, as a normal urate proves the diagnosis
CGout is ruled out, as uric acid is always high in an attack
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?
AThe CD4 count must now be dangerously low too
BThe virus has been completely cured and removed
CThe treatment is suppressing the virus very well
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?
AA serum lipase test
BA thyroid panel test
CA baseline HIV test
DA sweat chloride test
7.Сложная
После химиотерапии быстрорастущей лимфомы какая картина результатов указывает на синдром лизиса опухоли?
AТолько высокий натрий и низкая глюкоза
BНормальные электролиты с высоким гемоглобином
CВысокий калий, высокий фосфат, высокая мочевая кислота и низкий кальций
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?
AAmiodarone-induced hypothyroidism
BAmiodarone-induced hyperthyroidism
CA normal response to amiodarone needing no action
DSecondary hypothyroidism from pituitary failure
Ответы
1. A · Fibrin clots are being formed and broken down in the body
2. A · 30 mg/g (3 mg/mmol)
3. C · Macrocytic anemia, with large red cells
4. D · Gout is still possible, as urate can be normal in an attack
5. C · The treatment is suppressing the virus very well
6. C · A baseline HIV test
7. C · Высокий калий, высокий фосфат, высокая мочевая кислота и низкий кальций
8. A · Amiodarone-induced hypothyroidism
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