1.Easy
Thrombocytopenia is usually defined as a platelet count below:
- A450 × 10³/µL (450 × 10⁹/L)
- B15 × 10³/µL (15 × 10⁹/L)
- C1,000 × 10³/µL (1,000 × 10⁹/L)
- D150 × 10³/µL (150 × 10⁹/L)
2.Easy
A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?
- ABladder urothelial cancer
- BDuctal breast cancer
- CProstate adenocarcinoma
- DHepatocellular (liver) cancer
3.Easy
Where is urea, measured as blood urea nitrogen (BUN), made?
- AIn the muscles, from the breakdown of creatine
- BIn the kidneys, from the breakdown of glucose
- CIn the liver, from the breakdown of protein
- DIn the bone marrow, from old red blood cells
4.Medium
A patient's potassium is 7.0 mEq/L. Which ECG change would the nurse expect?
- ATall, peaked T waves
- BDelta waves before the QRS
- CProminent U waves
- DFlattened T waves
5.Medium
In countries that screen all pregnant women (such as the US), a vaginal-rectal swab is taken at about 36–37 weeks. Which organism is it screening for?
- AGroup B Streptococcus
- BHepatitis B virus
- CStaphylococcus aureus
- DCandida albicans
6.Medium
A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?
- ASerum lithium level
- BAbsolute neutrophil count
- CSerum amylase
- DInternational normalized ratio
7.Hard
Which pattern of results fits SIADH?
- ALow serum sodium, low serum osmolality and concentrated urine
- BNormal sodium with very dilute urine
- CLow serum sodium, high serum osmolality and dilute urine
- DHigh serum sodium, high serum osmolality and very dilute urine
8.Hard
A patient taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10.5 mmol/L), pH 7.15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?
- ASimple fasting ketosis only
- BHyperosmolar hyperglycemic state
- CRespiratory acidosis from COPD
- DEuglycemic diabetic ketoacidosis
Answer key
- 1. D · 150 × 10³/µL (150 × 10⁹/L)
- 2. D · Hepatocellular (liver) cancer
- 3. C · In the liver, from the breakdown of protein
- 4. A · Tall, peaked T waves
- 5. A · Group B Streptococcus
- 6. B · Absolute neutrophil count
- 7. A · Low serum sodium, low serum osmolality and concentrated urine
- 8. D · Euglycemic diabetic ketoacidosis
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