1.Dễ
What does the term "leukopenia" mean?
- AA low red blood cell count
- BA high white blood cell count
- CA high platelet count
- DA low white blood cell count
2.Dễ
Which blood marker is the most specific for injury to the heart muscle?
- ASerum myoglobin
- BTotal creatine kinase
- CLactate dehydrogenase
- DCardiac troponin
3.Dễ
A patient has a hemoglobin of 19,5 g/dL (195 g/L) and a hematocrit of 58%. Which term describes this?
- APancytopenia (all cells low)
- BThrombocytopenia (low platelets)
- CPolycythemia (erythrocytosis)
- DIron-deficiency anemia
4.Trung bình
A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?
- AA rise in serum calcium
- BA rise in serum sodium
- CA fall in serum potassium
- DA fall in blood glucose
5.Trung bình
A breathless patient in the emergency department has a BNP below 100 pg/mL. What does this suggest?
- AThe kidneys are failing and the patient needs dialysis
- BHeart failure is an unlikely cause of the breathlessness
- CThe patient has had a myocardial infarction in the past day
- DSevere heart failure is certainly the cause of the problem
6.Trung bình
A patient has burning on urination and frequency. The dipstick is positive for nitrites and leukocyte esterase, and a urine culture is ordered. When should the sample be taken?
- AAt any time, as antibiotics do not matter
- BBefore the first dose of antibiotic
- CAfter 3 days of antibiotic treatment
- DAfter the symptoms have fully settled
7.Khó
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6,1 mEq/L and dark urine. Which prescribed treatment is the priority?
- AAn oral potassium supplement with each meal
- BLarge-volume IV fluids with cardiac monitoring
- CFluid restriction to protect the heart from overload
- DHigh-dose NSAIDs for the muscle pain
8.Khó
A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2,3 without warfarin, and the platelets are normal. What is the most likely cause?
- AIron-deficiency anemia
- BHemophilia A
- CImmune thrombocytopenia
- DVitamin K deficiency
Đáp án
- 1. D · A low white blood cell count
- 2. D · Cardiac troponin
- 3. C · Polycythemia (erythrocytosis)
- 4. C · A fall in serum potassium
- 5. B · Heart failure is an unlikely cause of the breathlessness
- 6. B · Before the first dose of antibiotic
- 7. B · Large-volume IV fluids with cardiac monitoring
- 8. D · Vitamin K deficiency
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