1.Easy
Which blood test is the usual measure of a person's vitamin D status?
- A1,25-dihydroxyvitamin D
- BParathyroid hormone
- C25-hydroxyvitamin D
- DSerum phosphate
2.Easy
What is the difference between serum and plasma?
- ASerum and plasma are two names for exactly the same fluid
- BSerum is what is left after blood clots, minus clotting factors
- CPlasma is the fluid left after blood clots, without fibrinogen
- DSerum contains all the red cells, while plasma contains none
3.Easy
Which statement about HDL cholesterol is correct?
- AIt should ideally be kept below 40 mg/dL (1.0 mmol/L)
- BIt is the same as the fasting triglyceride level
- CHigher levels are linked to a lower risk of heart disease
- DHigher levels are the main cause of plaque in the arteries
4.Medium
A patient had a total thyroidectomy yesterday. Which laboratory value is most important to monitor in the first days after surgery?
- ASerum sodium
- BSerum calcium
- CSerum glucose
- DSerum potassium
5.Medium
When several samples are drawn at the same venipuncture, which tubes or bottles are filled first?
- ABlood culture bottles
- BEDTA (complete blood count) tubes
- CCoagulation (citrate) tubes
- DFluoride (glucose) tubes
6.Medium
A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?
- ANitrites in the urine
- BProtein in the urine
- CGlucose in the urine
- DKetones in the urine
7.Hard
A patient with a long-standing lung condition has a serum bicarbonate of 32 mEq/L, an arterial PaCO₂ that is always high and a pH of 7.36. Which condition fits best?
- AAcute severe diarrhea with large bicarbonate losses
- BCOPD with chronic CO₂ retention and metabolic compensation
- CAcute aspirin overdose with rapid breathing
- DAcute diabetic ketoacidosis with severe dehydration and vomiting
8.Hard
A patient with a calcium of 6.8 mg/dL (1.7 mmol/L) suddenly develops noisy breathing and a hoarse voice. What does this suggest?
- AA normal response that will pass without treatment
- BLaryngospasm, an emergency needing urgent help and IV calcium
- CA common cold that started this morning
- DAnxiety about the blood results, which needs calm reassurance
Answer key
- 1. C · 25-hydroxyvitamin D
- 2. B · Serum is what is left after blood clots, minus clotting factors
- 3. C · Higher levels are linked to a lower risk of heart disease
- 4. B · Serum calcium
- 5. A · Blood culture bottles
- 6. B · Protein in the urine
- 7. B · COPD with chronic CO₂ retention and metabolic compensation
- 8. B · Laryngospasm, an emergency needing urgent help and IV calcium
Full step-by-step solutions: practise this topic on examproblems.com.