1.Dễ
Tỷ trọng nước tiểu 1,035 có khả năng nhất gợi ý:
- ANước tiểu rất loãng, như trong đái tháo nhạt
- BNhiễm trùng đường tiết niệu
- CNước tiểu bình thường với mọi người bệnh
- DNước tiểu cô đặc, như trong mất nước
2.Dễ
Kali huyết thanh 5,9 mEq/L được gọi là:
- ATăng calci máu
- BTăng kali máu
- CHạ kali máu
- DTăng natri máu
3.Dễ
Nồng độ peptide lợi niệu type B (BNP) tăng ủng hộ mạnh nhất tình trạng nào ở người bệnh khó thở?
- ACơn hen
- BSuy tim
- CCơn hoảng loạn
- DViêm phổi
4.Trung bình
A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?
- AAn acute myocardial infarction has occurred
- BStrenuous exercise raised CK from skeletal muscle
- CThe patient has developed acute pancreatitis
- DThe patient has developed acute hepatitis
5.Trung bình
A urine culture report states "mixed growth of three organisms, likely contamination." What is the nurse's best response?
- AInform the provider and arrange a new, correctly collected sample
- BStart treatment for all three organisms with three antibiotics
- CDiscard the report, because a mixed growth is always normal
- DRecord the result as a confirmed urinary tract infection
6.Trung bình
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
- ATroponin, creatine kinase and myoglobin
- BSerum lithium, sodium and urine specific gravity
- CComplete blood count, liver tests and kidney function
- DSerum amylase, lipase and blood ketones
7.Khó
A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T4 and no symptoms. What is the most likely explanation?
- AShe has developed Graves disease in pregnancy
- BhCG stimulates the thyroid in early pregnancy
- CShe has pituitary failure from the pregnancy
- DThe result shows severe primary hypothyroidism
8.Khó
A patient receiving parenteral nutrition with lipid emulsion has a triglyceride level of 620 mg/dL (7,0 mmol/L). Why is this result important?
- AIt is a normal fasting value for adults
- BIt means the patient needs more lipid
- CIt raises the risk of acute pancreatitis
- DIt shows the nutrition is fully effective
Đáp án
- 1. D · Nước tiểu cô đặc, như trong mất nước
- 2. B · Tăng kali máu
- 3. B · Suy tim
- 4. B · Strenuous exercise raised CK from skeletal muscle
- 5. A · Inform the provider and arrange a new, correctly collected sample
- 6. C · Complete blood count, liver tests and kidney function
- 7. B · hCG stimulates the thyroid in early pregnancy
- 8. C · It raises the risk of acute pancreatitis
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