1.Easy
What is the usual target INR for a patient taking warfarin for a deep vein thrombosis?
- A0.8–1.2
- B4.0–5.0
- C2.0–3.0
- D1.0–1.5
2.Easy
What is a typical adult reference range for serum magnesium?
- AAbout 1.3–2.1 mEq/L (0.65–1.05 mmol/L)
- BAbout 0.3–0.7 mEq/L (0.15–0.35 mmol/L)
- CAbout 6.0–8.0 mEq/L (3.0–4.0 mmol/L)
- DAbout 3.5–5.0 mEq/L (1.75–2.5 mmol/L)
3.Easy
Why is AST less specific for liver damage than ALT?
- AAST is made by the bone marrow, not the liver
- BAST is found only in the kidney tubules
- CAST is also found in heart and skeletal muscle
- DAST is not measured in the blood at all
4.Medium
A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?
- AThe inflammation is settling with treatment
- BThe infection has spread to another organ
- CThe antibiotic is causing liver damage
- DThe patient has developed a new infection
5.Medium
How does normal pregnancy usually affect serum creatinine?
- AIt rises with every week
- BIt rises, because GFR falls
- CIt falls, because GFR rises
- DIt stays exactly the same
6.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-associated circulatory overload
- CA mild febrile nonhemolytic reaction
- DTransfusion-related acute lung injury (TRALI)
7.Hard
Which cerebrospinal fluid (CSF) pattern most strongly suggests bacterial meningitis?
- AClear fluid, normal glucose, mildly raised protein, lymphocytes
- BClear fluid, high glucose, low protein, many red cells
- CClear fluid, normal glucose, normal protein, no white cells
- DCloudy fluid, low glucose, high protein, many neutrophils
8.Hard
Weeks after neck surgery, a patient has muscle cramps and tingling. Calcium is low, phosphate is high and parathyroid hormone (PTH) is low. Which condition fits best?
- AHypoparathyroidism
- BChronic kidney disease
- CVitamin D toxicity
- DPrimary hyperparathyroidism
Answer key
- 1. C · 2.0–3.0
- 2. A · About 1.3–2.1 mEq/L (0.65–1.05 mmol/L)
- 3. C · AST is also found in heart and skeletal muscle
- 4. A · The inflammation is settling with treatment
- 5. C · It falls, because GFR rises
- 6. D · Transfusion-related acute lung injury (TRALI)
- 7. D · Cloudy fluid, low glucose, high protein, many neutrophils
- 8. A · Hypoparathyroidism
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