1.Easy
Which blood group's plasma can be given to patients of any ABO group (universal plasma donor)?
- AGroup AB
- BGroup B
- CGroup A
- DGroup O
2.Easy
Chronic kidney disease is usually defined by an eGFR below which value for more than 3 months?
- A60 mL/min/1.73 m²
- B120 mL/min/1.73 m²
- C15 mL/min/1.73 m²
- D90 mL/min/1.73 m²
3.Easy
Which gland produces thyroid-stimulating hormone (TSH)?
- AThe adrenal cortex
- BThe thyroid gland itself
- CThe parathyroid glands
- DThe anterior pituitary gland
4.Medium
A patient who is breathless during a transfusion has hypotension, fever and bilateral lung infiltrates, with no signs of fluid overload. Which complication is most likely?
- AA simple allergic reaction with hives
- BTransfusion-related acute lung injury (TRALI)
- CTransfusion-associated circulatory overload
- DA mild febrile nonhemolytic reaction
5.Medium
A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?
- ASalt substitutes are safe because they contain only sodium chloride
- BSalt substitutes are fine as long as the patient drinks more water
- CMost salt substitutes contain potassium and can raise the level too high
- DSalt substitutes protect against the potassium loss caused by this drug
6.Medium
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
- ANormal TSH with a low free T4
- BLow TSH with a high free T4
- CHigh TSH with a normal free T4
- DHigh TSH with a low free T4
7.Hard
Why can a normal creatinine be misleading in a frail older adult with low muscle mass?
- AA normal creatinine always proves normal kidney function
- BCreatinine levels do not depend on muscle mass at all
- COlder adults always have a higher creatinine than younger adults do
- DLess muscle makes less creatinine, hiding reduced kidney function
8.Hard
A patient with blood pressure that is hard to control has a potassium of 2.9 mEq/L, a sodium of 144 mEq/L and a raised serum bicarbonate, without taking a diuretic. Which condition is most likely?
- ASyndrome of inappropriate ADH
- BCentral diabetes insipidus
- CPrimary adrenal insufficiency
- DPrimary hyperaldosteronism
Answer key
- 1. A · Group AB
- 2. A · 60 mL/min/1.73 m²
- 3. D · The anterior pituitary gland
- 4. B · Transfusion-related acute lung injury (TRALI)
- 5. C · Most salt substitutes contain potassium and can raise the level too high
- 6. B · Low TSH with a high free T4
- 7. D · Less muscle makes less creatinine, hiding reduced kidney function
- 8. D · Primary hyperaldosteronism
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