1.Dễ
A low mean corpuscular hemoglobin concentration (MCHC) means that the red cells are:
- AMore numerous than normal
- BLarger than normal (macrocytic)
- CPaler than normal (hypochromic)
- DShaped like a sickle
2.Dễ
What does the term "thrombocytosis" mean?
- AA high white cell count
- BA low red cell count
- CA high platelet count
- DA low platelet count
3.Dễ
A raised alkaline phosphatase (ALP) is most typical of:
- ALow production of hormone by the thyroid gland
- BAcute damage to the heart muscle
- CInflammation of the lining of the urinary bladder
- DBlocked bile flow or increased bone turnover
4.Trung bình
A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?
- ASerum sodium
- BSerum chloride
- CSerum calcium
- DSerum amylase
5.Trung bình
Which IV fluid can be given through the same line as a red cell transfusion?
- ALactated Ringer's (Hartmann's) solution
- B5% dextrose in water
- C0,9% sodium chloride
- D0,45% sodium chloride
6.Trung bình
Vì sao calci toàn phần thấp phải được diễn giải thận trọng ở người bệnh có albumin huyết thanh thấp?
- AAlbumin thấp làm mọi xét nghiệm calci không chính xác và vô dụng
- BNhiều calci gắn với albumin, nên calci toàn phần giảm dù calci ion hóa bình thường
- CAlbumin và calci được đo bằng cùng một phản ứng hóa học, nên luôn giảm cùng nhau
- DAlbumin thấp luôn gây hạ calci máu thật, có triệu chứng
7.Khó
After a crush injury, a patient's urine dipstick is strongly positive for blood, but microscopy shows almost no red cells. CK is very high. What best explains this?
- ABleeding is coming from the bladder lining
- BA kidney stone is scraping the ureter lining
- CMyoglobin from damaged muscle is in the urine
- DThe sample was contaminated with menstrual blood
8.Khó
A nursing student has a positive interferon-gamma release assay (IGRA) for tuberculosis, no symptoms and a normal chest X-ray. What does this most likely mean?
- AActive pulmonary TB, which is contagious
- BPast BCG vaccination only, with no infection
- CA false result, as the test does not detect TB
- DLatent TB infection, which is not contagious
Đáp án
- 1. C · Paler than normal (hypochromic)
- 2. C · A high platelet count
- 3. D · Blocked bile flow or increased bone turnover
- 4. C · Serum calcium
- 5. C · 0,9% sodium chloride
- 6. B · Nhiều calci gắn với albumin, nên calci toàn phần giảm dù calci ion hóa bình thường
- 7. C · Myoglobin from damaged muscle is in the urine
- 8. D · Latent TB infection, which is not contagious
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