Diagnostic Procedures Flashcards
7 cards from real PEBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Diagnostic Procedures flashcards as text
A patient's serum creatinine is 180 µmol/L and eGFR is 28 mL/min/1.73m². Which CKD stage does this represent?
Answer: Stage 4 (severe decrease)
An eGFR of 15–29 mL/min/1.73m² corresponds to CKD Stage 4 (severe decrease in kidney function).
Which laboratory finding is most consistent with iron-deficiency anemia?
Answer: Low serum ferritin, elevated TIBC
Iron-deficiency anemia is characterized by low serum ferritin (depleted stores) and elevated TIBC (transferrin unsaturated).
A pharmacist reviews a patient's ECG and notes a prolonged QTc of 510 ms. Which drug interaction is most likely responsible?
Answer: Azithromycin + haloperidol
Both azithromycin and haloperidol independently prolong the QTc interval, and their combination significantly increases the risk of torsades de pointes.
A patient's urine dipstick shows 3+ protein and 2+ blood. The most appropriate next diagnostic step is:
Answer: Urine microscopy and ACR (albumin-to-creatinine ratio)
Persistent proteinuria and hematuria on dipstick require urine microscopy and ACR to quantify proteinuria and evaluate for glomerular pathology.
Which INR range is the therapeutic target for a patient with a mechanical heart valve receiving warfarin?
Answer: 2.5–3.5
Mechanical heart valves generally require a higher INR target of 2.5–3.5 to prevent thromboembolism.
A fasting lipid panel shows LDL-C 4.8 mmol/L, HDL-C 0.9 mmol/L, and TG 3.2 mmol/L. Which calculated value is unreliable?
Answer: LDL-C via Friedewald equation
The Friedewald equation (LDL-C = TC − HDL − TG/2.2) is inaccurate when triglycerides exceed 4.5 mmol/L, but is also less reliable at TG > 2.3 mmol/L; direct LDL measurement should be used when TG are elevated.
Which test is used to diagnose H. pylori infection in a patient currently taking a proton pump inhibitor?
Answer: Stool antigen test after 2-week PPI washout
PPIs suppress H. pylori activity and cause false-negative urea breath and stool antigen tests; a 2-week PPI washout before stool antigen testing improves accuracy.