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الاسم: ____________________ التاريخ: ____________
1.سهلة
بالنسبة إلى الصوديوم والبوتاسيوم، كيف يقارن 1 mEq/L بـ 1 mmol/L؟
A1 mEq/L يساوي 2 mmol/L لهذه الشوارد
B1 mEq/L يساوي 0,5 mmol/L لهذه الشوارد
Cلا يمكن مقارنتهما لأنهما يقيسان شيئين مختلفين
Dهما متساويان، لأن كل شاردة تحمل شحنة واحدة
2.سهلة
In the US (NCEP ATP III) classification, which LDL cholesterol level is called optimal for an adult?
AAbout 160–189 mg/dL (4,1–4,9 mmol/L)
BBelow 100 mg/dL (2,6 mmol/L)
CAbout 220–260 mg/dL (5,7–6,7 mmol/L)
DAbout 190 mg/dL (4,9 mmol/L) or more
3.سهلة
لدى شخص لا يتناول مضاد تخثر، يكون INR نموذجيًا نحو:
A2,0–3,0
B0,8–1,2
C5,0–6,0
D3,5–4,5
4.متوسطة
In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?
AA normal rise from placental ALP
BA sign of acute viral hepatitis
CA sign of blocked bile ducts
DA sign of new bone cancer
5.متوسطة
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
AA DVT is unlikely and can usually be ruled out
BA pulmonary embolism is now certain to be present
CThe test is useless and should always be ignored
DA DVT is confirmed and anticoagulation is needed
6.متوسطة
A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?
AStrenuous exercise raised CK from skeletal muscle
BThe patient has developed acute hepatitis
CThe patient has developed acute pancreatitis
DAn acute myocardial infarction has occurred
7.صعبة
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?
ALithium toxicity; hold lithium and report urgently
BIbuprofen side effects only; give it with food
CA low level; ask for the lithium dose to be raised
DA normal level; continue lithium as prescribed
8.صعبة
The nurse teaches a patient with thrombocytopenia (platelets 25 × 10³/µL) about home safety. Which statement shows a need for further teaching?
A"I'll take aspirin if I get a headache"
B"I'll blow my nose gently, not forcefully"
C"I'll use an electric razor to shave"
D"I'll use a soft-bristled toothbrush"
مفتاح الإجابات
1. D · هما متساويان، لأن كل شاردة تحمل شحنة واحدة
2. B · Below 100 mg/dL (2,6 mmol/L)
3. B · 0,8–1,2
4. A · A normal rise from placental ALP
5. A · A DVT is unlikely and can usually be ruled out
6. A · Strenuous exercise raised CK from skeletal muscle
7. A · Lithium toxicity; hold lithium and report urgently
8. A · "I'll take aspirin if I get a headache"
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