1.Easy
What does the term "thrombocytosis" mean?
- AA high white cell count
- BA low platelet count
- CA low red cell count
- DA high platelet count
2.Easy
A raised procalcitonin level most strongly suggests:
- AAn allergic reaction
- BA viral common cold
- CIron-deficiency anemia
- DA bacterial infection
3.Easy
What is the usual target INR for a patient taking warfarin for a deep vein thrombosis?
- A1.0–1.5
- B2.0–3.0
- C4.0–5.0
- D0.8–1.2
4.Medium
A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?
- AGive several samples of nasal mucus blown into a tissue
- BGive one sample of saliva collected from the mouth at any time of day
- CGive several deep-cough samples, often first thing in the morning
- DGive one sample after brushing with mouthwash so it is clean
5.Medium
Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?
- AA low temperature and slow heart rate
- BBack pain with dark red urine output
- CCrackles, hypertension and a raised BNP
- DHives and itching without other signs
6.Medium
An older adult with chronic kidney disease starts trimethoprim-sulfamethoxazole for a urinary tract infection. Which electrolyte should be monitored closely?
- ACalcium, because the drug binds calcium in the gut
- BChloride, because the drug causes chloride loss
- CPotassium, because trimethoprim can raise it
- DSodium, because the drug causes heavy sodium retention
7.Hard
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- AHemoglobin 12.1 g/dL (121 g/L) after surgery
- BCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- CGlucose 145 mg/dL (8.0 mmol/L) after surgery
- DSodium 136 mEq/L on IV fluids after surgery
8.Hard
A young man has a swollen knee after minor trauma. His aPTT is prolonged, but his PT/INR and platelet count are normal. Which condition fits best?
- AHemophilia A (factor VIII deficiency)
- BDisseminated intravascular coagulation
- CVitamin K deficiency from poor diet
- DImmune thrombocytopenia (ITP)
Answer key
- 1. D · A high platelet count
- 2. D · A bacterial infection
- 3. B · 2.0–3.0
- 4. C · Give several deep-cough samples, often first thing in the morning
- 5. C · Crackles, hypertension and a raised BNP
- 6. C · Potassium, because trimethoprim can raise it
- 7. B · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. A · Hemophilia A (factor VIII deficiency)
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