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الاسم: ____________________ التاريخ: ____________
1.سهلة
ما المدى المرجعي النموذجي لكرياتينين المصل لدى البالغين؟
Aنحو 135–145 mg/dL
Bنحو 3,5–5,0 mg/dL
Cنحو 0,6–1,2 mg/dL
Dنحو 10–20 mg/dL
2.سهلة
Why is "free T4" often measured rather than total T4?
AThe free form is the form excreted in urine
BThe free form is the unbound, active hormone
CThe free form is stored inside the pituitary
DThe free form is the only form made by the gland
3.سهلة
What is the usual urine dipstick result for protein in a healthy adult?
AAlways moderately positive
BNegative or trace
CPositive only in the morning
DStrongly positive (+++)
4.متوسطة
A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2,1 mmol/L). Which treatment is appropriate?
AGlucagon by injection, or IV dextrose as prescribed
BOrange juice poured slowly into the patient's mouth
CGlucose tablets placed between the patient's teeth
DA dose of rapid-acting insulin to stabilize the glucose
5.متوسطة
تعداد الكريات البيضاء لدى مريض 16 × 10³/µL مع نسبة عالية من العدلات غير الناضجة (الأشرطة bands). على ماذا يدل ذلك على الأرجح؟
Aعدوى جرثومية حادة
Bنتيجة طبيعية
Cفقر دم نقص الحديد
Dمرض فيروسي مزمن فقط
6.متوسطة
A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?
ATSH and free T4
BALT and bilirubin
CPotassium and creatinine
DCalcium and phosphate
7.صعبة
A patient with severe sepsis is oozing blood from IV sites. Platelets 40 × 10³/µL, fibrinogen low, D-dimer very high, PT and aPTT both prolonged. Which condition fits best?
ADisseminated intravascular coagulation (DIC)
BImmune thrombocytopenic purpura (ITP)
CHeparin-induced thrombocytopenia (HIT)
DHemophilia A (factor VIII deficiency)
8.صعبة
Three days after starting haloperidol, a patient has a temperature of 40 °C, severe muscle rigidity and confusion. Which laboratory result would the nurse expect?
AA very high serum lithium
BA very low serum sodium
CA very low white cell count
DA very high creatine kinase (CK)
مفتاح الإجابات
1. C · نحو 0,6–1,2 mg/dL
2. B · The free form is the unbound, active hormone
3. B · Negative or trace
4. A · Glucagon by injection, or IV dextrose as prescribed
5. A · عدوى جرثومية حادة
6. C · Potassium and creatinine
7. A · Disseminated intravascular coagulation (DIC)
8. D · A very high creatine kinase (CK)
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