1.Easy
Which urine test is used to screen people with diabetes for early kidney damage?
- AA urine culture for bacteria
- BUrine specific gravity
- CA urine pregnancy test
- DThe urine albumin-to-creatinine ratio (ACR)
2.Easy
For a person who is not taking an anticoagulant, the INR is typically about:
- A5.0–6.0
- B2.0–3.0
- C3.5–4.5
- D0.8–1.2
3.Easy
Which hormone is measured in blood or urine to test for pregnancy?
- AAntidiuretic hormone (ADH)
- BHuman chorionic gonadotropin (hCG)
- CFollicle-stimulating hormone (FSH)
- DThyroid-stimulating hormone (TSH)
4.Medium
A patient had a total thyroidectomy yesterday. Which laboratory value is most important to monitor in the first days after surgery?
- ASerum glucose
- BSerum potassium
- CSerum sodium
- DSerum calcium
5.Medium
A breathless patient in the emergency department has a BNP below 100 pg/mL. What does this suggest?
- ASevere heart failure is certainly the cause of the problem
- BHeart failure is an unlikely cause of the breathlessness
- CThe kidneys are failing and the patient needs dialysis
- DThe patient has had a myocardial infarction in the past day
6.Medium
A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?
- AThe patient has stopped the drug
- BThe thyroid is now completely normal
- CThe levothyroxine dose is too low
- DThe levothyroxine dose is too high
7.Hard
A patient on stable digoxin starts amiodarone. A week later, the patient has nausea and visual changes, and the digoxin level is above the range. What is the most likely explanation?
- AAmiodarone has lowered potassium only
- BAmiodarone has raised the digoxin level
- CThe patient has started a viral illness
- DDigoxin has raised the amiodarone level
8.Hard
Which set of results most strongly suggests hemolytic anemia?
- ALow hemoglobin, high MCV, low vitamin B12, normal bilirubin
- BLow hemoglobin, low reticulocytes, low MCV, low ferritin
- CLow hemoglobin, low platelets, low white cells, low reticulocytes
- DLow hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
Answer key
- 1. D · The urine albumin-to-creatinine ratio (ACR)
- 2. D · 0.8–1.2
- 3. B · Human chorionic gonadotropin (hCG)
- 4. D · Serum calcium
- 5. B · Heart failure is an unlikely cause of the breathlessness
- 6. D · The levothyroxine dose is too high
- 7. B · Amiodarone has raised the digoxin level
- 8. D · Low hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
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