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الاسم: ____________________ التاريخ: ____________
1.سهلة
A positive hepatitis B surface antigen (HBsAg) test means:
AThe person currently has hepatitis B infection
BThe person is immune from vaccination only
CThe person has never met the virus
DThe person had hepatitis A in the past
2.سهلة
What does the term "leukopenia" mean?
AA high white blood cell count
BA low red blood cell count
CA high platelet count
DA low white blood cell count
3.سهلة
What is the effect of insulin on serum potassium?
AIt makes the kidneys keep more potassium in the blood
BIt moves potassium into cells, lowering the serum level
CIt moves potassium out of cells, raising the serum level
DIt has no effect on potassium in any amount
4.متوسطة
An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?
AThe drug stops working entirely when the kidneys fail
BThe drug causes high potassium that lowers the glucose
CThe drug makes the glucose meter read falsely low
DThe drug and its metabolites build up and cause long lows
5.متوسطة
A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?
AALT and bilirubin
BCalcium and phosphate
CTSH and free T4
DPotassium and creatinine
6.متوسطة
A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?
APhosphate
BSodium bicarbonate
CMagnesium
DUric acid
7.صعبة
A patient has fever, confusion, a platelet count of 15 × 10³/µL, anemia with fragmented red cells (schistocytes) and a raised creatinine. Clotting times are normal. Which condition should be suspected?
AImmune thrombocytopenia (ITP)
BVitamin K deficiency with bleeding
CThrombotic thrombocytopenic purpura (TTP)
DDisseminated intravascular coagulation
8.صعبة
A patient has taken metformin for 8 years and now has numbness in the feet, a hemoglobin of 10,2 g/dL (102 g/L) and an MCV of 108 fL. Which deficiency is most likely?
AIron deficiency from gut loss
BVitamin B12 deficiency
CVitamin D (calciferol) deficiency
DVitamin K deficiency
مفتاح الإجابات
1. A · The person currently has hepatitis B infection
2. D · A low white blood cell count
3. B · It moves potassium into cells, lowering the serum level
4. D · The drug and its metabolites build up and cause long lows
5. D · Potassium and creatinine
6. C · Magnesium
7. C · Thrombotic thrombocytopenic purpura (TTP)
8. B · Vitamin B12 deficiency
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