1.Easy
For many non-pregnant adults with diabetes, which HbA1c target is commonly recommended?
- ABelow 4% (20 mmol/mol)
- BBelow 10% (86 mmol/mol)
- CAbove 9% (75 mmol/mol)
- DBelow 7% (53 mmol/mol)
2.Easy
Which gland produces thyroid-stimulating hormone (TSH)?
- AThe thyroid gland itself
- BThe parathyroid glands
- CThe anterior pituitary gland
- DThe adrenal cortex
3.Easy
An older adult is found on the floor after lying there for many hours. Which blood test best shows breakdown of skeletal muscle (rhabdomyolysis)?
- ACreatine kinase (CK)
- BHemoglobin A1c (HbA1c)
- CSerum lipase
- DSerum albumin
4.Medium
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe treatment is suppressing the virus very well
- BThe treatment can now be stopped without any risk
- CThe virus has been completely cured and removed
- DThe CD4 count must now be dangerously low too
5.Medium
A patient receives subcutaneous enoxaparin (a low-molecular-weight heparin). Which statement about monitoring is correct?
- ANo blood tests of any kind are ever needed
- BThe INR is used to adjust each dose, as with warfarin
- CNo routine aPTT; platelets and kidney function are checked instead
- DThe aPTT must be checked every 6 hours to adjust the dose
6.Medium
A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?
- APhosphate
- BSodium bicarbonate
- CMagnesium
- DUric acid
7.Hard
The nurse teaches a patient with severe neutropenia after chemotherapy. Which statement shows a need for further teaching?
- A"I'll check my temperature rectally to be accurate"
- B"I'll wash my hands before eating and after the toilet"
- C"I'll avoid people who have a cold or the flu"
- D"I'll call the clinic if my temperature rises"
8.Hard
The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?
- A"My daily finger-stick readings still matter between the tests"
- B"I must not eat anything for 12 hours before the HbA1c test"
- C"A lower result means less risk of damage to my eyes and kidneys"
- D"The test shows my average glucose over the past few months"
Answer key
- 1. D · Below 7% (53 mmol/mol)
- 2. C · The anterior pituitary gland
- 3. A · Creatine kinase (CK)
- 4. A · The treatment is suppressing the virus very well
- 5. C · No routine aPTT; platelets and kidney function are checked instead
- 6. C · Magnesium
- 7. A · "I'll check my temperature rectally to be accurate"
- 8. B · "I must not eat anything for 12 hours before the HbA1c test"
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