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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the usual target INR for a patient taking warfarin for a deep vein thrombosis?
A1,0–1,5
B4,0–5,0
C2,0–3,0
D0,8–1,2
2.سهلة
أي نتيجة مخبرية ترتبط ارتباطًا وثيقًا باصفرار الجلد والعينين (اليرقان)؟
Aارتفاع بوتاسيوم المصل
Bارتفاع بيليروبين المصل
Cانخفاض تعداد الصفائح
Dانخفاض كالسيوم المصل
3.سهلة
A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?
ABladder urothelial cancer
BHepatocellular (liver) cancer
CProstate adenocarcinoma
DDuctal breast cancer
4.متوسطة
A patient with chronic kidney disease has a magnesium of 3,8 mEq/L (1,9 mmol/L). Which product is the most likely cause?
ALoop diuretics such as furosemide
BProton pump inhibitors taken long term
CExcess alcohol use over many years
DMagnesium-containing laxatives or antacids
5.متوسطة
A patient's potassium is 7,0 mEq/L. Which ECG change would the nurse expect?
AFlattened T waves
BDelta waves before the QRS
CProminent U waves
DTall, peaked T waves
6.متوسطة
A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?
AUrine ketone level
BSerum amylase level
CComplete blood count
DSerum lithium level
7.صعبة
In the first 24 hours after a major burn, which laboratory pattern is most expected?
ALow sodium and low hematocrit
BHigh potassium and high hematocrit
CHigh calcium and high albumin
DLow potassium and low hematocrit
8.صعبة
A patient has a positive hepatitis C antibody (anti-HCV) test. What is the most appropriate next step?
ATest for HCV RNA to find out whether infection is current
BRepeat the antibody test, as a positive test is always false
CGive hepatitis C vaccine to prevent further infection
DTell the patient they definitely have chronic hepatitis C
مفتاح الإجابات
1. C · 2,0–3,0
2. B · ارتفاع بيليروبين المصل
3. B · Hepatocellular (liver) cancer
4. D · Magnesium-containing laxatives or antacids
5. D · Tall, peaked T waves
6. C · Complete blood count
7. B · High potassium and high hematocrit
8. A · Test for HCV RNA to find out whether infection is current
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