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A nurse practitioner is assessing a patient
with suspected acute pancreatitis. Which
laboratory test is the most accurate for
,diagnosis?
A. Amylase
B. Lipase
C. ALT
D. AST
Correct Answer: B
Rationale: Lipase is the most sensitive and
specific test for acute pancreatitis because it
remains elevated longer and is more specific
to pancreatic inflammation. Amylase may rise
quickly but lacks specificity and can be
,elevated in other conditions. Liver enzymes
are not diagnostic for pancreatitis.
A patient taking an ACE inhibitor returns for
follow-up. Which creatinine level requires
discontinuation of the medication?
A. 1.2 mg/dL
B. 1.5 mg/dL
C. 2.0 mg/dL
D. 0.9 mg/dL
Correct Answer: C
Rationale: A creatinine level of 2.0 mg/dL or
, higher indicates significant renal impairment.
ACE inhibitors can reduce glomerular
filtration, and a marked increase suggests
worsening kidney function requiring
discontinuation.
Which patient is at highest risk for developing
hyperthyroidism?
A. Male, age 25 with hypertension
B. Female, age 40 with autoimmune disease
C. Male, age 60 with type 2 diabetes
D. Female, age 18 with anemia