1.Easy
Which laboratory test is used to monitor warfarin therapy?
- APT with INR
- BD-dimer
- CaPTT
- DPlatelet count
2.Easy
What is the usual urine dipstick result for protein in a healthy adult?
- ANegative or trace
- BAlways moderately positive
- CPositive only in the morning
- DStrongly positive (+++)
3.Easy
Which tube additive is used for a complete blood count (CBC)?
- ANo additive, clot activator (red top)
- BEDTA (usually a lavender or purple top)
- CSodium fluoride (usually a gray top)
- DSodium citrate (usually a light blue top)
4.Medium
A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?
- APregnancy hormones stop the bone marrow from making red cells
- BPlasma volume rises more than red cell mass, diluting the blood
- CThe fetus is destroying the mother's red cells in the circulation
- DIron is being lost through the kidneys during the pregnancy
5.Medium
A patient starts high-dose prednisone. Which laboratory change should the nurse expect?
- AA fall in serum sodium
- BA fall in the white cell count
- CA rise in blood glucose
- DA rise in serum potassium
6.Medium
Which change in clotting tests is normal in late pregnancy?
- AINR rises to about 3.0
- BaPTT doubles from baseline
- CFibrinogen and D-dimer rise
- DPlatelets rise above 600 × 10³/µL
7.Hard
A woman who is 34 weeks pregnant has high blood pressure, right upper abdominal pain, a platelet count of 70 × 10³/µL, raised ALT and AST, and a raised LDH. Which condition fits best?
- AGestational diabetes
- BPhysiologic anemia of pregnancy
- CHELLP syndrome
- DAcute cholecystitis
8.Hard
A patient with long-standing rheumatoid arthritis has a hemoglobin of 10.5 g/dL (105 g/L), a low serum iron, a low total iron-binding capacity (TIBC) and a high-normal ferritin. Which condition fits best?
- AIron-deficiency anemia
- BVitamin B12 deficiency anemia
- CAnemia of chronic disease (inflammation)
- DAcute blood loss anemia
Answer key
- 1. A · PT with INR
- 2. A · Negative or trace
- 3. B · EDTA (usually a lavender or purple top)
- 4. B · Plasma volume rises more than red cell mass, diluting the blood
- 5. C · A rise in blood glucose
- 6. C · Fibrinogen and D-dimer rise
- 7. C · HELLP syndrome
- 8. C · Anemia of chronic disease (inflammation)
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