1.Easy
What does the term "leukopenia" mean?
- AA high platelet count
- BA low red blood cell count
- CA low white blood cell count
- DA high white blood cell count
2.Easy
The tumor marker CA-125 is most often used to follow which cancer?
- AThyroid cancer
- BLung cancer
- CColon cancer
- DOvarian cancer
3.Easy
What is a typical adult reference range for serum creatinine?
- AAbout 135–145 mg/dL
- BAbout 10–20 mg/dL
- CAbout 3.5–5.0 mg/dL
- DAbout 0.6–1.2 mg/dL
4.Medium
A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?
- AIncreased red cell production
- BA laboratory error in the first sample
- CA sudden failure of the bone marrow
- DDilution of the blood by the IV fluid
5.Medium
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
- AIn the afternoon and evening
- BThe glucose will not change
- CIn the early morning, before the dose
- DAt midnight only
6.Medium
When should a blood specimen tube be labeled?
- AAt the nurses' station, after all samples for the shift are drawn
- BBefore entering the room, so tubes are ready for the next patients
- CAt the bedside, in the patient's presence, using two identifiers
- DIn the laboratory, by the staff who receive the unlabeled sample
7.Hard
A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T4 and no symptoms. What is the most likely explanation?
- AThe result shows severe primary hypothyroidism
- BShe has pituitary failure from the pregnancy
- CShe has developed Graves disease in pregnancy
- DhCG stimulates the thyroid in early pregnancy
8.Hard
A patient with heart failure takes lisinopril, spironolactone and a potassium supplement. Today the potassium is 6.0 mEq/L. What is the most likely explanation?
- APotassium supplements have no effect on the serum level
- BSpironolactone causes potassium loss
- CLisinopril lowers potassium
- DSeveral medicines that raise potassium are being taken together
Answer key
- 1. C · A low white blood cell count
- 2. D · Ovarian cancer
- 3. D · About 0.6–1.2 mg/dL
- 4. D · Dilution of the blood by the IV fluid
- 5. A · In the afternoon and evening
- 6. C · At the bedside, in the patient's presence, using two identifiers
- 7. D · hCG stimulates the thyroid in early pregnancy
- 8. D · Several medicines that raise potassium are being taken together
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