1.Dễ
What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?
- AAbout 8–12 mEq/L
- BAbout 98–106 mEq/L
- CAbout 35–45 mEq/L
- DAbout 22–28 mEq/L
2.Dễ
A tuberculin skin test (TST) is read as positive. What does this mean?
- AThe person has been infected with TB bacteria at some point
- BThe person is fully immune and can never develop TB
- CThe person definitely has active, contagious pulmonary TB
- DThe person has never been exposed to TB bacteria
3.Dễ
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
- A60 mL/min/1,73 m²
- B15 mL/min/1,73 m²
- C45 mL/min/1,73 m²
- D90 mL/min/1,73 m²
4.Trung bình
How should a blood sample for serum ammonia be handled?
- AKept warm and sent with the next routine batch
- BShaken firmly to mix it before it is sent away
- CPlaced on ice and sent to the laboratory at once
- DLeft at room temperature for several hours first
5.Trung bình
A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?
- AA fall in the white cell count
- BA rise in the reticulocyte count
- CA rise in the platelet count
- DA fall in the mean cell volume (MCV)
6.Trung bình
A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?
- AVitamin K (phytonadione)
- BProtamine sulfate
- CCalcium gluconate
- DNaloxone
7.Khó
A patient with diabetes had a glucose of 58 mg/dL (3,2 mmol/L), took 15 g of fast-acting carbohydrate and, 15 minutes later, the glucose is 64 mg/dL (3,6 mmol/L). The patient is alert. What should the nurse do next?
- AGive a protein snack only and recheck tomorrow
- BGive another 15 g of fast carbohydrate and recheck
- CWait until the next meal before giving anything
- DGive a long-acting insulin dose to stabilize it
8.Khó
A patient's total calcium is 7,6 mg/dL and the albumin is 2,0 g/dL. Using the common correction (add 0,8 mg/dL for each 1 g/dL that albumin is below 4,0), what is the corrected calcium?
- A9,2 mg/dL, within the normal range
- B11,6 mg/dL, above the normal range
- C7,6 mg/dL, below the normal range
- D6,0 mg/dL, well below the normal range
Đáp án
- 1. D · About 22–28 mEq/L
- 2. A · The person has been infected with TB bacteria at some point
- 3. B · 15 mL/min/1,73 m²
- 4. C · Placed on ice and sent to the laboratory at once
- 5. B · A rise in the reticulocyte count
- 6. B · Protamine sulfate
- 7. B · Give another 15 g of fast carbohydrate and recheck
- 8. A · 9,2 mg/dL, within the normal range
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