1.Easy
Which fasting blood glucose is within the typical normal range for an adult without diabetes?
- A85 mg/dL (4.7 mmol/L)
- B45 mg/dL (2.5 mmol/L)
- C210 mg/dL (11.7 mmol/L)
- D140 mg/dL (7.8 mmol/L)
2.Easy
What does a raised C-reactive protein (CRP) mainly indicate?
- AKidney failure in particular
- BDehydration and fluid loss
- CInflammation in the body
- DA heart attack in particular
3.Easy
Which laboratory test is used to monitor warfarin therapy?
- AaPTT
- BD-dimer
- CPlatelet count
- DPT with INR
4.Medium
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
- AThe urine dipstick only detects ketones in people without diabetes
- BIt shows the average ketone level over the past three months
- CIt measures the main ketone in DKA, and the dipstick may miss it
- DIt is the only test that can measure glucose and ketones together
5.Medium
A patient had a right mastectomy with removal of axillary lymph nodes. Where is the best place to draw blood?
- AThe left arm
- BThe right arm
- CEither arm equally
- DThe right hand
6.Medium
A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?
- ARepeat the test in 10 years
- BNo action if there are no symptoms
- CStart an iron supplement only
- DReferral for colonoscopy
7.Hard
During surgery under general anesthesia, a patient develops a rising end-tidal CO2, muscle rigidity and tachycardia, then a high potassium and a rising temperature. Which condition is most likely?
- AHypovolemic shock
- BMalignant hyperthermia
- CAcute hemolytic transfusion reaction
- DHypoglycemia from fasting
8.Hard
Which finding most strongly suggests that a patient’s raised creatinine is due to acute kidney injury rather than long-standing chronic kidney disease?
- AThe patient has small kidneys on an ultrasound scan
- BThe patient has had a high creatinine for many years
- CThe patient has long-standing anemia
- DThe creatinine was normal three days ago and has doubled since
Answer key
- 1. A · 85 mg/dL (4.7 mmol/L)
- 2. C · Inflammation in the body
- 3. D · PT with INR
- 4. C · It measures the main ketone in DKA, and the dipstick may miss it
- 5. A · The left arm
- 6. D · Referral for colonoscopy
- 7. B · Malignant hyperthermia
- 8. D · The creatinine was normal three days ago and has doubled since
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