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الاسم: ____________________ التاريخ: ____________
1.سهلة
A patient has a hemoglobin of 19,5 g/dL (195 g/L) and a hematocrit of 58%. Which term describes this?
APolycythemia (erythrocytosis)
BIron-deficiency anemia
CPancytopenia (all cells low)
DThrombocytopenia (low platelets)
2.سهلة
Which condition commonly causes a high serum potassium?
ALoop diuretic use
BKidney failure
CSevere diarrhea
DRepeated vomiting
3.سهلة
Vitamin B12 deficiency typically causes which type of anemia?
AMicrocytic anemia, with small red cells
BHemolytic anemia, with destroyed red cells
CAplastic anemia, with an empty bone marrow
DMacrocytic anemia, with large red cells
4.متوسطة
After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?
AA sign of iron deficiency from the earlier bleeding
BA normal change after surgery that needs no follow-up
CPossible recurrence that needs further assessment
DA sure sign that the cancer has been fully cured
5.متوسطة
مريض مصاب باضطراب نظم بطيني يظهر على الشاشة نمط ملتوٍ (torsades de pointes). أي شاردة تُعطى عادةً وريديًا للعلاج؟
Aكربونات الكالسيوم
Bفوسفات البوتاسيوم
Cكبريتات المغنيزيوم
Dبيكربونات الصوديوم
6.متوسطة
A patient has a calcium of 7,0 mg/dL (1,75 mmol/L) and tingling around the mouth. Which nursing measure is most appropriate?
ALimit dairy products until the level falls again
BPromote walking to move calcium back into the bone
CPut seizure precautions in place and report the result
DEncourage 3 L of fluid per day to dilute the calcium
7.صعبة
A patient with long-term heavy alcohol use is admitted with alcohol withdrawal. Which group of electrolyte problems is most common?
AHigh sodium, high calcium and high glucose
BHigh magnesium, high phosphate and high potassium
CLow magnesium, low phosphate and low potassium
DLow chloride, high bicarbonate and high calcium
8.صعبة
A patient with advanced chronic kidney disease has a mildly raised troponin that has stayed the same on several tests over months. There is no chest pain and the ECG is unchanged. What is the best interpretation?
AProof of an acute myocardial infarction that needs emergency treatment now
BA chronic stable rise; infarction needs a rising or falling pattern
CA laboratory error, because troponin is never raised in kidney disease
DA sign of skeletal muscle injury, because troponin comes from all muscles
مفتاح الإجابات
1. A · Polycythemia (erythrocytosis)
2. B · Kidney failure
3. D · Macrocytic anemia, with large red cells
4. C · Possible recurrence that needs further assessment
5. C · كبريتات المغنيزيوم
6. C · Put seizure precautions in place and report the result
7. C · Low magnesium, low phosphate and low potassium
8. B · A chronic stable rise; infarction needs a rising or falling pattern
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