1.Dễ
What is the main effect of aldosterone on the kidneys?
- AGlucose is retained and urea is excreted
- BSodium is retained and potassium is excreted
- CSodium is excreted and potassium is retained
- DCalcium is retained and phosphate is excreted
2.Dễ
Chronic kidney disease is usually defined by an eGFR below which value for more than 3 months?
- A90 mL/min/1,73 m²
- B60 mL/min/1,73 m²
- C15 mL/min/1,73 m²
- D120 mL/min/1,73 m²
3.Dễ
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
- A60 mL/min/1,73 m²
- B45 mL/min/1,73 m²
- C15 mL/min/1,73 m²
- D90 mL/min/1,73 m²
4.Trung bình
How should a blood sample for serum ammonia be handled?
- APlaced on ice and sent to the laboratory at once
- BShaken firmly to mix it before it is sent away
- CKept warm and sent with the next routine batch
- DLeft at room temperature for several hours first
5.Trung bình
Which blood collection practice helps prevent hemolysis of the sample?
- ALeaving the tourniquet on for at least 3 minutes
- BGently inverting the tubes instead of shaking them
- CForcing blood quickly through a needle into the tube
- DUsing the smallest needle available for every patient
6.Trung bình
Giá trị xét nghiệm nào phản ánh tốt nhất nguyên nhân lú lẫn ở người bệnh bệnh gan nặng có run vẫy?
- ALipase huyết thanh thấp
- BChỉ kali huyết thanh thấp
- CTroponin tăng
- DAmoniac huyết thanh tăng
7.Khó
A patient with a stable INR on warfarin starts rifampin (rifampicin) for tuberculosis. Two weeks later the INR is 1,3. What is the most likely explanation?
- ATuberculosis causes the INR to fall
- BRifampin contains a lot of vitamin K
- CRifampin speeds up warfarin metabolism
- DRifampin raises the INR, so it is wrong
8.Khó
During surgery under general anesthesia, a patient develops a rising end-tidal CO2, muscle rigidity and tachycardia, then a high potassium and a rising temperature. Which condition is most likely?
- AMalignant hyperthermia
- BAcute hemolytic transfusion reaction
- CHypoglycemia from fasting
- DHypovolemic shock
Đáp án
- 1. B · Sodium is retained and potassium is excreted
- 2. B · 60 mL/min/1,73 m²
- 3. C · 15 mL/min/1,73 m²
- 4. A · Placed on ice and sent to the laboratory at once
- 5. B · Gently inverting the tubes instead of shaking them
- 6. D · Amoniac huyết thanh tăng
- 7. C · Rifampin speeds up warfarin metabolism
- 8. A · Malignant hyperthermia
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