1.Easy
What does normal cerebrospinal fluid (CSF) look like?
- AClear and colorless
- BThick and green
- CPink and bloody
- DCloudy and yellow
2.Easy
What is a typical adult reference range for serum sodium?
- A95–105 mEq/L
- B135–145 mEq/L
- C150–165 mEq/L
- D3.5–5.0 mEq/L
3.Easy
What is a typical adult reference range for serum creatinine?
- AAbout 135–145 mg/dL
- BAbout 0.6–1.2 mg/dL
- CAbout 10–20 mg/dL
- DAbout 3.5–5.0 mg/dL
4.Medium
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
- AIt shows the average ketone level over the past three months
- BThe urine dipstick only detects ketones in people without diabetes
- CIt is the only test that can measure glucose and ketones together
- DIt measures the main ketone in DKA, and the dipstick may miss it
5.Medium
A patient with diabetes also takes propranolol. Why is regular glucose monitoring especially important?
- AThe drug stops the meter from reading correctly
- BThe drug can mask warning signs of hypoglycemia
- CThe drug causes very high glucose in all patients
- DThe drug blocks the insulin injection site
6.Medium
A patient with cirrhosis has an albumin of 2.2 g/dL (22 g/L). Which finding is most likely related?
- AEdema and ascites
- BIncreased urine output
- CHigh blood pressure
- DHyperkalemia
7.Hard
A patient with a new deep vein thrombosis is on a heparin infusion, and warfarin has just been started. Why is the heparin continued for several days?
- AHeparin prevents the side effects of warfarin
- BHeparin increases the absorption of warfarin from the gut
- CWarfarin takes several days to reach its full anticoagulant effect
- DWarfarin only works when heparin is given at the same time
8.Hard
A patient has sudden episodes of severe headache, sweating, palpitations and very high blood pressure. Which test is most useful to look for the cause?
- APlasma free metanephrines
- BSerum TSH and free T4
- CSerum calcium only
- DFasting lipid profile
Answer key
- 1. A · Clear and colorless
- 2. B · 135–145 mEq/L
- 3. B · About 0.6–1.2 mg/dL
- 4. D · It measures the main ketone in DKA, and the dipstick may miss it
- 5. B · The drug can mask warning signs of hypoglycemia
- 6. A · Edema and ascites
- 7. C · Warfarin takes several days to reach its full anticoagulant effect
- 8. A · Plasma free metanephrines
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