1.Easy
A serum sodium of 151 mEq/L is called:
- AHyponatremia
- BHypercalcemia
- CHyperkalemia
- DHypernatremia
2.Easy
What is the usual urine dipstick result for protein in a healthy adult?
- AStrongly positive (+++)
- BAlways moderately positive
- CPositive only in the morning
- DNegative or trace
3.Easy
Which laboratory test is used to monitor warfarin therapy?
- AD-dimer
- BPlatelet count
- CaPTT
- DPT with INR
4.Medium
Why is a baseline platelet count taken before starting heparin therapy?
- ASo that the INR can be calculated from the platelet count later
- BBecause heparin increases the platelet count to dangerous levels
- CBecause heparin is given at a dose based on the platelet count
- DSo a later fall from heparin-induced thrombocytopenia is detected
5.Medium
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
- AAfter about 6–8 weeks
- BAfter about 24 hours
- CAfter about 3 days
- DAfter about 1 year
6.Medium
After pituitary surgery, a patient passes about 400 mL of pale urine per hour with a specific gravity of 1.002, and the sodium has risen to 149 mEq/L. Which condition is most likely?
- AAcute kidney injury with oliguria
- BSIADH
- CHyperglycemia with ketoacidosis
- DDiabetes insipidus
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
- BDigoxin has raised the amiodarone level
- CAmiodarone has raised the digoxin level
- DThe patient has started a viral illness
8.Hard
During surgery under general anesthesia, a patient develops a rising end-tidal CO2, muscle rigidity and tachycardia, then a high potassium and a rising temperature. Which condition is most likely?
- AAcute hemolytic transfusion reaction
- BHypovolemic shock
- CHypoglycemia from fasting
- DMalignant hyperthermia
Answer key
- 1. D · Hypernatremia
- 2. D · Negative or trace
- 3. D · PT with INR
- 4. D · So a later fall from heparin-induced thrombocytopenia is detected
- 5. A · After about 6–8 weeks
- 6. D · Diabetes insipidus
- 7. C · Amiodarone has raised the digoxin level
- 8. D · Malignant hyperthermia
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