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1.سهلة
What does the term pancytopenia mean?
AHigh red cells, white cells and platelets
BLow red cells with normal platelets
CLow red cells, white cells and platelets
DHigh white cells with low platelets
2.سهلة
What is the main effect of aldosterone on the kidneys?
ACalcium is retained and phosphate is excreted
BGlucose is retained and urea is excreted
CSodium is excreted and potassium is retained
DSodium is retained and potassium is excreted
3.سهلة
أي فحص بول يُستخدم للكشف عن تلف الكلى المبكر لدى المصابين بالسكري؟
Aمزرعة بول للبكتيريا
Bاختبار الحمل البولي
Cنسبة الألبومين إلى الكرياتينين في البول (ACR)
Dالكثافة النوعية للبول
4.متوسطة
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
AAdd more glucose to the next bag to clear the fluid
BStop dialysis for a week and recheck the fluid later
CRecord it as normal and continue the usual exchanges
DSend the fluid for cell count and culture and report it
5.متوسطة
Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?
AHives and itching without other signs
BBack pain with dark red urine output
CA low temperature and slow heart rate
DCrackles, hypertension and a raised BNP
6.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
BAverage glucose over the past months has been above the target
CThe patient has had frequent episodes of severe hypoglycemia
DGlucose control has been excellent for the past several months
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?
AImmune thrombocytopenic purpura (ITP)
BHeparin-induced thrombocytopenia (HIT)
CDisseminated intravascular coagulation (DIC)
DHemophilia A (factor VIII deficiency)
8.صعبة
A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?
AMagnesium is excreted by the kidneys, so it can build up to toxic levels
BMagnesium is broken down by the liver, so it will stop working soon
CPoor kidney function makes the magnesium level fall quickly
DMagnesium causes potassium loss, so the kidneys release more fluid
مفتاح الإجابات
1. C · Low red cells, white cells and platelets
2. D · Sodium is retained and potassium is excreted
3. C · نسبة الألبومين إلى الكرياتينين في البول (ACR)
4. D · Send the fluid for cell count and culture and report it
5. D · Crackles, hypertension and a raised BNP
6. B · Average glucose over the past months has been above the target
7. C · Disseminated intravascular coagulation (DIC)
8. A · Magnesium is excreted by the kidneys, so it can build up to toxic levels
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