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الاسم: ____________________ التاريخ: ____________
1.سهلة
ما المدى المرجعي النموذجي لنيتروجين اليوريا في الدم (BUN) لدى البالغين؟
Aنحو 70–99 mg/dL (اليوريا 25–35 mmol/L)
Bنحو 135–145 mg/dL (اليوريا 48–52 mmol/L)
Cنحو 7–20 mg/dL (اليوريا 2,5–7,1 mmol/L)
Dنحو 0,6–1,2 mg/dL (اليوريا 0,2–0,4 mmol/L)
2.سهلة
Why is AST less specific for liver damage than ALT?
AAST is not measured in the blood at all
BAST is also found in heart and skeletal muscle
CAST is found only in the kidney tubules
DAST is made by the bone marrow, not the liver
3.سهلة
Which ECG change is linked to hypercalcemia?
AA prolonged QT interval
BTall, peaked T waves
CA shortened QT interval
DProminent U waves
4.متوسطة
When several samples are drawn at the same venipuncture, which tubes or bottles are filled first?
AFluoride (glucose) tubes
BEDTA (complete blood count) tubes
CBlood culture bottles
DCoagulation (citrate) tubes
5.متوسطة
A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2,1 mmol/L). Which treatment is appropriate?
AOrange juice poured slowly into the patient's mouth
BGlucose tablets placed between the patient's teeth
CA dose of rapid-acting insulin to stabilize the glucose
DGlucagon by injection, or IV dextrose as prescribed
6.متوسطة
A patient taking furosemide has a potassium of 3,3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?
ARice cakes
BPlain crackers
CWhite bread
DDried apricots
7.صعبة
A patient with kidney stones and fatigue has a calcium of 11,6 mg/dL (2,9 mmol/L), a high parathyroid hormone (PTH) and a low phosphate. Which condition is most likely?
AHypoparathyroidism
BPrimary hyperparathyroidism
CVitamin D deficiency
DCancer-related hypercalcemia
8.صعبة
A 5-year-old has new bruising and petechiae two weeks after a viral illness. Platelets are 12 × 10³/µL; hemoglobin, white cell count and clotting times are normal. Which condition is most likely?
AHemophilia A
BDisseminated intravascular coagulation
CImmune thrombocytopenia (ITP)
DAcute leukemia
مفتاح الإجابات
1. C · نحو 7–20 mg/dL (اليوريا 2,5–7,1 mmol/L)
2. B · AST is also found in heart and skeletal muscle
3. C · A shortened QT interval
4. C · Blood culture bottles
5. D · Glucagon by injection, or IV dextrose as prescribed
6. D · Dried apricots
7. B · Primary hyperparathyroidism
8. C · Immune thrombocytopenia (ITP)
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