Question

24) Pt adm with NIDDM, CAD, COPD. Their HgbA1C value (WNL = 4-6%) was >12%. What does this indicate to you?

	A.	Well controlled blood sugar over the last few weeks
	B.	Poorly controlled blood sugar over the last few weeks
	C.	Well controlled blood sugar over the last 3-4 months
	D.	Poorly controlled blood sugar over the last 3-4 months

25) A patient is admitted with the following labs: BUN 32; Creat 0.8; Albumin 3.2. Stools are guaic negative and H&H values are stable and WNL. Evaluate hydration status.

	A.	Dehydrated
	B.	Over hydrated
	C.	Fluid status WNL

26) Based on the above evaluation and after the patient is treated accordingly, what would happen to the albumin level?

	A.	It should increase
	B.	It should decrease
	C.	It should remain the same
	D.	Unable to determine

27) You evaluate a patient with the following labs: BUN 40, Creat 0.3, H&H dropping but now stable s/p receiving 5 units PRBC's, stool is heme +.

	A.	Pt is dehydrated
	B.	Pt is overhydrated
	C.	Cannot accurately assess hydration status at this time

Answer 1

24) The correct option is D) Poorly controlled blood sugar over the last 3-4 months.

An HbA1c test shows what the average amount of glucose attached to hemoglobin has been over the past three months.

25) The correct option is C) Fluid status WNL

26) The correct option is A) it should increase

The given albumin levle is a bit low than normal range (3.4 - 5.4 g/dl )

27) The correct option is A) patient is dehydrated.

Because he is having blood in stool and requires transfusion to combat dehydration .