1.Easy
What is a typical adult reference range for serum chloride?
- AAbout 135–145 mEq/L
- BAbout 98–106 mEq/L
- CAbout 3.5–5.0 mEq/L
- DAbout 22–28 mEq/L
2.Easy
What is a typical adult reference range for total serum calcium?
- AAbout 3.5–5.0 mg/dL (0.87–1.25 mmol/L)
- BAbout 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- CAbout 1.3–2.1 mg/dL (0.3–0.5 mmol/L)
- DAbout 12–16 mg/dL (3.0–4.0 mmol/L)
3.Easy
What is the purpose of a type and crossmatch before a transfusion?
- ATo test the donor blood for bacterial contamination only
- BTo find out how quickly the patient's blood forms a clot
- CTo check that donor blood is compatible with the patient's blood
- DTo measure how much iron is stored in the patient's bone marrow
4.Medium
A patient with central diabetes insipidus starts desmopressin. Which laboratory result is most important to monitor for an adverse effect?
- ASerum glucose, which may rise very high
- BSerum potassium, which may rise too high
- CSerum sodium, which may fall too low
- DSerum calcium, which may rise too high
5.Medium
When should blood cultures be taken for a patient with suspected sepsis?
- AAfter the first three doses of antibiotics
- BOnly if the fever lasts more than three days
- CBefore the first antibiotic dose, without delaying it much
- DAt any time, since antibiotics do not affect the result
6.Medium
A patient is on an IV insulin infusion protocol in the ICU. How often is the blood glucose usually checked?
- AAbout every hour
- BOnly if symptoms occur
- COnce every 12 hours
- DOnce a day before breakfast
7.Hard
A patient’s total calcium is 7.9 mg/dL (2.0 mmol/L), with an albumin of 2.4 g/dL (24 g/L) and no symptoms. Which test would best clarify whether true hypocalcemia is present?
- AAn ionized calcium
- BA urine specific gravity
- CAn HbA1c
- DA serum sodium
8.Hard
In the first 24 hours after a major burn, which laboratory pattern is most expected?
- ALow sodium and low hematocrit
- BHigh calcium and high albumin
- CHigh potassium and high hematocrit
- DLow potassium and low hematocrit
Answer key
- 1. B · About 98–106 mEq/L
- 2. B · About 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- 3. C · To check that donor blood is compatible with the patient's blood
- 4. C · Serum sodium, which may fall too low
- 5. C · Before the first antibiotic dose, without delaying it much
- 6. A · About every hour
- 7. A · An ionized calcium
- 8. C · High potassium and high hematocrit
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