1.Dễ
Why is serum creatinine a better marker of kidney function than BUN?
- AIt is affected mainly by protein intake, which is easy to control
- BIt is made by the liver, so it rises in every kind of illness
- CIt is less affected by diet, hydration and bleeding in the gut
- DIt is not filtered by the kidneys, so its level stays very stable
2.Dễ
Cation chính trong dịch bên trong tế bào là gì?
- ACalci
- BClorua
- CKali
- DNatri
3.Dễ
In a person with HIV infection, a CD4 count below which level defines AIDS?
- A200 cells/µL
- B50 cells/µL
- C1,000 cells/µL
- D500 cells/µL
4.Trung bình
A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?
- AA rise in the platelet count
- BA fall in the mean cell volume (MCV)
- CA fall in the white cell count
- DA rise in the reticulocyte count
5.Trung bình
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
- AThe glucose will not change
- BIn the afternoon and evening
- CAt midnight only
- DIn the early morning, before the dose
6.Trung bình
A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38,3 °C (100,9 °F). What should the nurse do first?
- AGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
- BReport it at once so cultures and antibiotics start quickly
- CEncourage oral fluids and record the fever in the chart
- DRemove extra blankets and offer a tepid sponge bath
7.Khó
A patient with chronic kidney disease stage 4 has a high phosphate, a low-normal calcium and a very high parathyroid hormone (PTH). What does this show?
- AVitamin D toxicity from supplements
- BSecondary hyperparathyroidism from CKD
- CHypoparathyroidism after neck surgery
- DPrimary hyperparathyroidism from a tumor
8.Khó
Two sets of blood cultures were taken from separate sites. Only one bottle in one set grows coagulase-negative staphylococci, and the patient has no line or implant. What is the most likely interpretation?
- AProof that the patient has infective endocarditis
- BProbable skin contamination of the sample
- CInfection with a resistant organism such as MRSA
- DCertain bloodstream infection needing treatment
Đáp án
- 1. C · It is less affected by diet, hydration and bleeding in the gut
- 2. C · Kali
- 3. A · 200 cells/µL
- 4. D · A rise in the reticulocyte count
- 5. B · In the afternoon and evening
- 6. B · Report it at once so cultures and antibiotics start quickly
- 7. B · Secondary hyperparathyroidism from CKD
- 8. B · Probable skin contamination of the sample
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