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الاسم: ____________________ التاريخ: ____________
1.سهلة
What does the term "leukopenia" mean?
AA low white blood cell count
BA high white blood cell count
CA high platelet count
DA low red blood cell count
2.سهلة
أي قيمة هيموغلوبين لدى امرأة بالغة تقع دون المدى المرجعي النموذجي؟
A12,8 g/dL (128 g/L)
B14,6 g/dL (146 g/L)
C9,2 g/dL (92 g/L)
D13,5 g/dL (135 g/L)
3.سهلة
On a liver panel, "direct bilirubin" refers to which form of bilirubin?
ABilirubin in the stool
BUnconjugated bilirubin
CTotal urine urobilinogen
DConjugated bilirubin
4.متوسطة
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
AAny result outside the range always means disease is present
BReference ranges include every healthy person without exception
CRanges cover about 95% of healthy people, so some fall outside
DReference ranges are the same in every laboratory worldwide
5.متوسطة
A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7,3 mmol/L) on Monday and 138 mg/dL (7,7 mmol/L) on Thursday. What does this show?
AThe results meet the criteria for diabetes
BThe results are within the normal fasting range
CThe results show prediabetes only
DThe results show reactive hypoglycemia
6.متوسطة
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
AAn overfull tube is needed to measure the potassium level
BThe laboratory charges extra when a tube is not filled correctly
CUnderfilled tubes always give a falsely low hemoglobin and hematocrit
DThe blood-to-anticoagulant ratio must be right for accurate clotting times
7.صعبة
A patient on warfarin with an INR of 3,6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?
AReport urgently for imaging and possible reversal
BEncourage rest in a dark room to settle the pain
CGive acetaminophen (paracetamol) and recheck the INR tomorrow
DHold warfarin for one dose and observe at home
8.صعبة
A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T4 and no symptoms. What is the most likely explanation?
AShe has developed Graves disease in pregnancy
BThe result shows severe primary hypothyroidism
CShe has pituitary failure from the pregnancy
DhCG stimulates the thyroid in early pregnancy
مفتاح الإجابات
1. A · A low white blood cell count
2. C · 9,2 g/dL (92 g/L)
3. D · Conjugated bilirubin
4. C · Ranges cover about 95% of healthy people, so some fall outside
5. A · The results meet the criteria for diabetes
6. D · The blood-to-anticoagulant ratio must be right for accurate clotting times
7. A · Report urgently for imaging and possible reversal
8. D · hCG stimulates the thyroid in early pregnancy
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