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الاسم: ____________________ التاريخ: ____________
1.سهلة
أي نتيجة مخبرية ترتبط ارتباطًا وثيقًا باصفرار الجلد والعينين (اليرقان)؟
Aارتفاع بيليروبين المصل
Bانخفاض كالسيوم المصل
Cانخفاض تعداد الصفائح
Dارتفاع بوتاسيوم المصل
2.سهلة
ما المدى العلاجي المذكور عادةً للفالبروات (حمض الفالبرويك) الكلي في المصل في الصرع؟
Aنحو 500–1000 mcg/mL (mg/L)
Bنحو 50–100 mcg/mL (mg/L)
Cنحو 0,6–1,2 mcg/mL (mg/L)
Dنحو 5–10 mcg/mL (mg/L)
3.سهلة
Which blood group is the universal donor for red blood cells in an emergency?
AGroup AB, Rh positive
BGroup A, Rh negative
CGroup O, Rh negative
DGroup B, Rh positive
4.متوسطة
A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?
AStop the infusion and give protamine sulfate as quickly as possible
BContinue the same rate and recheck the aPTT in a few days
CAdjust the rate as the protocol directs and recheck as scheduled
DSwitch the infusion to oral warfarin without a prescription
5.متوسطة
A patient scheduled for surgery this morning has a potassium of 3,0 mEq/L on pre-operative tests. What should the nurse do?
AReport it to the surgical team before surgery
BRepeat the test after the surgery is finished
CSend the patient to surgery without comment
DGive an oral potassium dose without a prescription
6.متوسطة
A patient with diabetes also takes propranolol. Why is regular glucose monitoring especially important?
AThe drug stops the meter from reading correctly
BThe drug causes very high glucose in all patients
CThe drug can mask warning signs of hypoglycemia
DThe drug blocks the insulin injection site
7.صعبة
A 68-year-old man has fatigue, a hemoglobin of 9,8 g/dL (98 g/L), an MCV of 72 fL and a low ferritin. He eats a normal diet. What is the most important next step?
ARepeat the blood count in one year
BLook for a source of blood loss in the gut
CStart vitamin B12 injections
DGive iron and do no further tests at all
8.صعبة
A patient taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10,5 mmol/L), pH 7,15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?
ARespiratory acidosis from COPD
BSimple fasting ketosis only
CHyperosmolar hyperglycemic state
DEuglycemic diabetic ketoacidosis
مفتاح الإجابات
1. A · ارتفاع بيليروبين المصل
2. B · نحو 50–100 mcg/mL (mg/L)
3. C · Group O, Rh negative
4. C · Adjust the rate as the protocol directs and recheck as scheduled
5. A · Report it to the surgical team before surgery
6. C · The drug can mask warning signs of hypoglycemia
7. B · Look for a source of blood loss in the gut
8. D · Euglycemic diabetic ketoacidosis
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