1.Dễ
A raised neutrophil count (neutrophilia) is most typical of:
- AAcute bacterial infection
- BVitamin B12 deficiency
- CHay fever and asthma
- DA mild viral cold
2.Dễ
What is the purpose of a type and crossmatch before a transfusion?
- ATo find out how quickly the patient's blood forms a clot
- BTo measure how much iron is stored in the patient's bone marrow
- CTo test the donor blood for bacterial contamination only
- DTo check that donor blood is compatible with the patient's blood
3.Dễ
Thrombocytopenia is usually defined as a platelet count below:
- A1,000 × 10³/µL (1,000 × 10⁹/L)
- B150 × 10³/µL (150 × 10⁹/L)
- C450 × 10³/µL (450 × 10⁹/L)
- D15 × 10³/µL (15 × 10⁹/L)
4.Trung bình
A patient with type 1 diabetes has the flu, is eating little and has a glucose of 290 mg/dL (16,1 mmol/L). Which advice is correct?
- AKeep taking insulin and check blood or urine ketones
- BWait 3 days before checking the glucose again
- CStop all insulin until you are eating normally again
- DDrink only water and avoid all carbohydrate foods
5.Trung bình
When do the blood counts usually reach their lowest point (nadir) after many standard chemotherapy regimens?
- AOn the same day as treatment
- BAbout 6 months after treatment
- CWithin 1–2 hours of treatment
- DAbout 7–14 days after treatment
6.Trung bình
How should a blood sample for serum ammonia be handled?
- AKept warm and sent with the next routine batch
- BPlaced on ice and sent to the laboratory at once
- CLeft at room temperature for several hours first
- DShaken firmly to mix it before it is sent away
7.Khó
A patient's low calcium does not improve despite several days of calcium replacement. Which other electrolyte should be checked and corrected?
- AChloride
- BSodium
- CMagnesium
- DBicarbonate
8.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?
- AHypoparathyroidism after neck surgery
- BVitamin D toxicity from supplements
- CSecondary hyperparathyroidism from CKD
- DPrimary hyperparathyroidism from a tumor
Đáp án
- 1. A · Acute bacterial infection
- 2. D · To check that donor blood is compatible with the patient's blood
- 3. B · 150 × 10³/µL (150 × 10⁹/L)
- 4. A · Keep taking insulin and check blood or urine ketones
- 5. D · About 7–14 days after treatment
- 6. B · Placed on ice and sent to the laboratory at once
- 7. C · Magnesium
- 8. C · Secondary hyperparathyroidism from CKD
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