ورقة عمل القيم المخبرية والشوارد مع الإجابات

أي قيمة HbA1c تستوفي عتبة التشخيص المعتادة للسكري؟

1. A5,5% (37 mmol/mol) أو أعلى
2. B6,5% (48 mmol/mol) أو أعلى
3. C4,5% (26 mmol/mol) أو أعلى
4. D5,0% (31 mmol/mol) أو أعلى

An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?

1. A90 mL/min/1,73 m²
2. B60 mL/min/1,73 m²
3. C45 mL/min/1,73 m²
4. D15 mL/min/1,73 m²

What is the usual urine dipstick result for protein in a healthy adult?

1. AAlways moderately positive
2. BNegative or trace
3. CStrongly positive (+++)
4. DPositive only in the morning

An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1,0 to 1,8 mg/dL (88 to 159 µmol/L). What is the most likely cause?

1. AThe NSAID reduces kidney blood flow on top of the other two drugs
2. BA laboratory error, since ibuprofen has no effect on the kidney
3. CMore activity has increased the patient's muscle mass quickly
4. DNormal aging of the kidneys over a period of a few weeks

A patient who is breathless during a transfusion has hypotension, fever and bilateral lung infiltrates, with no signs of fluid overload. Which complication is most likely?

1. ATransfusion-related acute lung injury (TRALI)
2. BA simple allergic reaction with hives
3. CTransfusion-associated circulatory overload
4. DA mild febrile nonhemolytic reaction

A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?

1. ASerum sodium
2. BSerum calcium
3. CSerum amylase
4. DSerum chloride

تناول مريض جرعة زائدة كبيرة من الأسيتامينوفين (باراسيتامول) قبل 24 ساعة. ما التغيرات المخبرية الأكثر توقعًا؟

1. Aارتفاع شديد في ALT وAST وارتفاع متزايد في INR
2. Bانخفاض ALT وAST وانخفاض INR
3. Cانخفاض الكريات البيضاء مع اختبارات كبد طبيعية
4. Dارتفاع التروبونين مع ALT طبيعي

A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?

1. AThe result is normal, as dexamethasone raises cortisol
2. BThe patient has primary hypothyroidism instead
3. CCortisol is being produced without normal feedback control
4. DThe adrenal glands are not able to produce enough cortisol