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الاسم: ____________________ التاريخ: ____________
1.سهلة
At what time of day is serum cortisol normally highest?
ALate afternoon
BAfter the evening meal
CAround midnight
DEarly morning
2.سهلة
Which hemoglobin value in an adult man is within the typical reference range?
A20,5 g/dL (205 g/L)
B9,0 g/dL (90 g/L)
C15,0 g/dL (150 g/L)
D5,5 g/dL (55 g/L)
3.سهلة
What does the term pancytopenia mean?
ALow red cells, white cells and platelets
BHigh red cells, white cells and platelets
CHigh white cells with low platelets
DLow red cells with normal platelets
4.متوسطة
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
AHbA1c and lipid panel
BTSH and free T4
CSerum sodium and chloride
DPlatelet count and PT/INR
5.متوسطة
A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?
ACalcium and phosphate
BTSH and free T4
CPotassium and creatinine
DALT and bilirubin
6.متوسطة
An older adult with chronic kidney disease starts trimethoprim-sulfamethoxazole for a urinary tract infection. Which electrolyte should be monitored closely?
ASodium, because the drug causes heavy sodium retention
BPotassium, because trimethoprim can raise it
CChloride, because the drug causes chloride loss
DCalcium, because the drug binds calcium in the gut
7.صعبة
A patient on clozapine reports a sore throat and fever. The ANC is 400/µL (0,4 × 10⁹/L). What should the nurse do?
AGive the next dose and recheck the ANC next month
BHold the clozapine and report the result at once
CHalve the dose and give it with a throat lozenge
DGive the dose with food to protect the stomach
8.صعبة
A patient has a hemoglobin of 11,2 g/dL (112 g/L), an MCV of 64 fL, a normal ferritin and a normal-to-high red cell count. What is the most likely cause?
AIron deficiency
BVitamin B12 deficiency
CThalassemia trait
DAcute blood loss
مفتاح الإجابات
1. D · Early morning
2. C · 15,0 g/dL (150 g/L)
3. A · Low red cells, white cells and platelets
4. D · Platelet count and PT/INR
5. C · Potassium and creatinine
6. B · Potassium, because trimethoprim can raise it
7. B · Hold the clozapine and report the result at once
8. C · Thalassemia trait
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