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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which hormone is measured in blood or urine to test for pregnancy?
AFollicle-stimulating hormone (FSH)
BThyroid-stimulating hormone (TSH)
CAntidiuretic hormone (ADH)
DHuman chorionic gonadotropin (hCG)
2.سهلة
Where are urinary casts formed?
AIn the kidney tubules
BIn the urethra
CIn the urinary bladder
DIn the ureters
3.سهلة
Which tube additive is used for a complete blood count (CBC)?
ASodium citrate (usually a light blue top)
BSodium fluoride (usually a gray top)
CNo additive, clot activator (red top)
DEDTA (usually a lavender or purple top)
4.متوسطة
A patient with hyperkalemia received IV regular insulin with dextrose. Which result must the nurse monitor closely over the next hours?
AHemoglobin, because insulin causes red cell loss
BBlood glucose, because hypoglycemia can occur
CSerum sodium, because it rises quickly
DSerum calcium, because it falls sharply
5.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 are the same in every laboratory worldwide
CRanges cover about 95% of healthy people, so some fall outside
DReference ranges include every healthy person without exception
6.متوسطة
A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?
AA sweat chloride test
BA baseline HIV test
CA thyroid panel test
DA serum lipase test
7.صعبة
تناول مريض جرعة زائدة كبيرة من الأسيتامينوفين (باراسيتامول) قبل 24 ساعة. ما التغيرات المخبرية الأكثر توقعًا؟
Aانخفاض ALT وAST وانخفاض INR
Bارتفاع التروبونين مع ALT طبيعي
Cانخفاض الكريات البيضاء مع اختبارات كبد طبيعية
Dارتفاع شديد في ALT وAST وارتفاع متزايد في INR
8.صعبة
A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?
AA vaso-occlusive pain crisis in the bones
BA normal finding in sickle cell disease
CIron deficiency from a poor diet over months
DAn aplastic crisis, often caused by parvovirus B19
مفتاح الإجابات
1. D · Human chorionic gonadotropin (hCG)
2. A · In the kidney tubules
3. D · EDTA (usually a lavender or purple top)
4. B · Blood glucose, because hypoglycemia can occur
5. C · Ranges cover about 95% of healthy people, so some fall outside
6. B · A baseline HIV test
7. D · ارتفاع شديد في ALT وAST وارتفاع متزايد في INR
8. D · An aplastic crisis, often caused by parvovirus B19
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