1.Easy
Which condition commonly causes a high serum potassium?
- ARepeated vomiting
- BSevere diarrhea
- CKidney failure
- DLoop diuretic use
2.Easy
Which hormone is measured in blood or urine to test for pregnancy?
- AFollicle-stimulating hormone (FSH)
- BAntidiuretic hormone (ADH)
- CHuman chorionic gonadotropin (hCG)
- DThyroid-stimulating hormone (TSH)
3.Easy
On a liver panel, "direct bilirubin" refers to which form of bilirubin?
- ATotal urine urobilinogen
- BConjugated bilirubin
- CUnconjugated bilirubin
- DBilirubin in the stool
4.Medium
A patient with hyponatremia from SIADH starts tolvaptan. Why is the serum sodium checked frequently in the first day?
- AThe sodium always falls further
- BThe drug lowers blood glucose sharply
- CThe sodium can rise too quickly
- DThe drug causes severe hyperkalemia
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
- BThe kidneys are failing and the patient needs dialysis
- CThe patient has had a myocardial infarction in the past day
- DHeart failure is an unlikely cause of the breathlessness
6.Medium
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
- AAfter about 24 hours
- BAfter about 3 days
- CAfter about 6–8 weeks
- DAfter about 1 year
7.Hard
A middle-aged man has fatigue, joint pain, a raised ALT and new diabetes. His ferritin is very high and his transferrin saturation is above 60%. Which condition is most likely?
- AIron-deficiency anemia
- BHereditary hemochromatosis
- CAcute viral hepatitis A
- DAnemia of chronic disease
8.Hard
Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?
- AAssess neurological status and report it at once as possible brain bleeding
- BDim the lights and encourage rest, as headaches are common after chemotherapy
- CEncourage the patient to drink more fluids and check the blood pressure later
- DGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
Answer key
- 1. C · Kidney failure
- 2. C · Human chorionic gonadotropin (hCG)
- 3. B · Conjugated bilirubin
- 4. C · The sodium can rise too quickly
- 5. D · Heart failure is an unlikely cause of the breathlessness
- 6. C · After about 6–8 weeks
- 7. B · Hereditary hemochromatosis
- 8. A · Assess neurological status and report it at once as possible brain bleeding
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