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الاسم: ____________________ التاريخ: ____________
1.سهلة
For a fasting plasma glucose test, the patient should have had no caloric intake for at least:
A1 hour
B8 hours
C3 hours
D24 hours
2.سهلة
Which laboratory test is used to diagnose sickle cell disease?
AErythrocyte sedimentation rate
BSerum ferritin and transferrin saturation
CProthrombin time with INR
DHemoglobin electrophoresis
3.سهلة
What does the term "thrombocytosis" mean?
AA low red cell count
BA high platelet count
CA high white cell count
DA low platelet count
4.متوسطة
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?
AA laboratory error, since ibuprofen has no effect on the kidney
BNormal aging of the kidneys over a period of a few weeks
CThe NSAID reduces kidney blood flow on top of the other two drugs
DMore activity has increased the patient's muscle mass quickly
5.متوسطة
A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7,8% (62 mmol/mol). What is the best interpretation?
AThe result shows today's fasting glucose is above the target
BGlucose control has been excellent for the past several months
CAverage glucose over the past months has been above the target
DThe patient has had frequent episodes of severe hypoglycemia
6.متوسطة
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
ANormal TSH with a low free T4
BHigh TSH with a normal free T4
CHigh TSH with a low free T4
DLow TSH with a high free T4
7.صعبة
Which set of results best shows that diabetic ketoacidosis is resolving?
AA rising potassium with a falling bicarbonate
BA falling glucose with a still widening anion gap
CA closing anion gap with a rising bicarbonate and pH
DA falling glucose with a falling serum bicarbonate
8.صعبة
The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?
A"If I forget to save one void, I'll just carry on to the end"
B"I'll empty my bladder at the end time and add that urine"
C"I'll ask whether any foods or drugs should be avoided first"
D"I'll keep the container cool as the laboratory told me to"
مفتاح الإجابات
1. B · 8 hours
2. D · Hemoglobin electrophoresis
3. B · A high platelet count
4. C · The NSAID reduces kidney blood flow on top of the other two drugs
5. C · Average glucose over the past months has been above the target
6. D · Low TSH with a high free T4
7. C · A closing anion gap with a rising bicarbonate and pH
8. A · "If I forget to save one void, I'll just carry on to the end"
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