1.Easy
For a fasting plasma glucose test, the patient should have had no caloric intake for at least:
- A24 hours
- B1 hour
- C3 hours
- D8 hours
2.Easy
What does the term "leukopenia" mean?
- AA high white blood cell count
- BA low white blood cell count
- CA low red blood cell count
- DA high platelet count
3.Easy
Which laboratory result is most closely linked to yellow skin and eyes (jaundice)?
- ARaised serum bilirubin
- BLow serum calcium
- CRaised serum potassium
- DLow platelet count
4.Medium
How does normal pregnancy usually affect serum creatinine?
- AIt rises with every week
- BIt falls, because GFR rises
- CIt rises, because GFR falls
- DIt stays exactly the same
5.Medium
A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2.1 mmol/L). Which treatment is appropriate?
- AOrange juice poured slowly into the patient's mouth
- BGlucagon by injection, or IV dextrose as prescribed
- CGlucose tablets placed between the patient's teeth
- DA dose of rapid-acting insulin to stabilize the glucose
6.Medium
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
- AAfter about 1 year
- BAfter about 6–8 weeks
- CAfter about 3 days
- DAfter about 24 hours
7.Hard
Which cerebrospinal fluid (CSF) pattern most strongly suggests bacterial meningitis?
- AClear fluid, normal glucose, mildly raised protein, lymphocytes
- BClear fluid, normal glucose, normal protein, no white cells
- CCloudy fluid, low glucose, high protein, many neutrophils
- DClear fluid, high glucose, low protein, many red cells
8.Hard
A patient on hemodialysis receives epoetin, but the hemoglobin has not risen in 2 months. Which results should be checked first?
- AFerritin and transferrin saturation
- BTSH and the free T3 level
- CAmylase and lipase levels
- DTroponin and creatine kinase
Answer key
- 1. D · 8 hours
- 2. B · A low white blood cell count
- 3. A · Raised serum bilirubin
- 4. B · It falls, because GFR rises
- 5. B · Glucagon by injection, or IV dextrose as prescribed
- 6. B · After about 6–8 weeks
- 7. C · Cloudy fluid, low glucose, high protein, many neutrophils
- 8. A · Ferritin and transferrin saturation
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