ورقة عمل القيم المخبرية والشوارد مع الإجابات

Which form of bilirubin rises mainly when red cells are broken down faster than normal?

1. AConjugated (direct)
2. BUrine bilirubin
3. CStool bilirubin
4. DUnconjugated (indirect)

What is a typical adult reference range for serum chloride?

1. AAbout 3,5–5,0 mEq/L
2. BAbout 135–145 mEq/L
3. CAbout 22–28 mEq/L
4. DAbout 98–106 mEq/L

Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?

1. APlatelet function assay (PFA-100 test)
2. BActivated partial thromboplastin time (aPTT)
3. CInternational normalized ratio (INR)
4. DErythrocyte sedimentation rate (ESR)

A patient with chronic kidney disease has a potassium of 5,6 mEq/L. Which food should the nurse advise the patient to limit?

1. ACabbage
2. BApples
3. CWhite rice
4. DBananas

Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?

1. ATroponin and creatine kinase (CK)
2. BLiver enzymes and serum amylase
3. CINR and the platelet count
4. DKidney function and thyroid function

In the US, when is a pregnant woman without known risk factors usually screened for gestational diabetes?

1. AOnly after the baby is born
2. BAt about 6–8 weeks of pregnancy
3. CAt about 38–40 weeks of pregnancy
4. DAt about 24–28 weeks of pregnancy

A patient with right upper abdominal pain from gallstones now has jaundice, a total bilirubin of 4,8 mg/dL (82 µmol/L) and a raised ALP. What is the most likely cause?

1. AHemolysis caused by the gallstones
2. BA stone blocking the common bile duct
3. CGilbert syndrome triggered by pain
4. DUncomplicated gallbladder inflammation

A patient on lithium has had vomiting and diarrhea for 3 days and has been taking ibuprofen. They now have a coarse tremor and confusion. The lithium level is 2,2 mEq/L. What is the best interpretation and action?

1. AA normal level; continue lithium as prescribed
2. BLithium toxicity; hold lithium and report urgently
3. CIbuprofen side effects only; give it with food
4. DA low level; ask for the lithium dose to be raised