1.Easy
What is a typical adult reference range for the white blood cell count?
- AAbout 150–400 × 10³/µL (150–400 × 10⁹/L)
- BAbout 0.5–1.0 × 10³/µL (0.5–1.0 × 10⁹/L)
- CAbout 25–40 × 10³/µL (25–40 × 10⁹/L)
- DAbout 4.5–11 × 10³/µL (4.5–11 × 10⁹/L)
2.Easy
What does a "culture and sensitivity" test of a sample show?
- AHow many white cells are present in the sample
- BWhether the patient is allergic to an antibiotic
- CWhich organism grows and which antibiotics work on it
- DThe amount of antibiotic in the patient's blood
3.Easy
Why is glucose normally absent from the urine?
- AGlucose is changed into ketones before it reaches the urine
- BThe glomeruli do not filter glucose out of the blood at any level
- CThe tubules reabsorb all filtered glucose at normal blood levels
- DThe bladder lining breaks down any glucose that reaches the urine
4.Medium
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
- ATroponin, creatine kinase and myoglobin
- BSerum amylase, lipase and blood ketones
- CSerum lithium, sodium and urine specific gravity
- DComplete blood count, liver tests and kidney function
5.Medium
A patient taking furosemide has a potassium of 3.3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?
- APlain crackers
- BWhite bread
- CDried apricots
- DRice cakes
6.Medium
A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?
- AGive several samples of nasal mucus blown into a tissue
- BGive several deep-cough samples, often first thing in the morning
- CGive one sample after brushing with mouthwash so it is clean
- DGive one sample of saliva collected from the mouth at any time of day
7.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 common cold that started this morning
- BLaryngospasm, an emergency needing urgent help and IV calcium
- CA normal response that will pass without treatment
- DAnxiety about the blood results, which needs calm reassurance
8.Hard
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
- APersistent bacteremia, as in infective endocarditis
- BA urinary tract infection that has spread to the skin
- CContamination of all three samples during collection
- DA normal finding in patients with heart murmurs
Answer key
- 1. D · About 4.5–11 × 10³/µL (4.5–11 × 10⁹/L)
- 2. C · Which organism grows and which antibiotics work on it
- 3. C · The tubules reabsorb all filtered glucose at normal blood levels
- 4. D · Complete blood count, liver tests and kidney function
- 5. C · Dried apricots
- 6. B · Give several deep-cough samples, often first thing in the morning
- 7. B · Laryngospasm, an emergency needing urgent help and IV calcium
- 8. A · Persistent bacteremia, as in infective endocarditis
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