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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is a typical reference range for the hematocrit in an adult woman?
AAbout 55–65%
BAbout 10–15%
CAbout 35–45%
DAbout 20–28%
2.سهلة
In a healthy adult, the CSF glucose is usually about what proportion of the blood glucose?
AAbout double (200%)
BAbout two-thirds (60%)
CAbout one tenth (10%)
DExactly the same (100%)
3.سهلة
Thrombocytopenia is usually defined as a platelet count below:
A150 × 10³/µL (150 × 10⁹/L)
B1,000 × 10³/µL (1,000 × 10⁹/L)
C15 × 10³/µL (15 × 10⁹/L)
D450 × 10³/µL (450 × 10⁹/L)
4.متوسطة
A patient has a hot, swollen big toe. The serum uric acid is normal. Which statement is correct?
AGout is certain, as a normal urate proves the diagnosis
BGout can only be diagnosed with a CT scan of the foot
CGout is ruled out, as uric acid is always high in an attack
DGout is still possible, as urate can be normal in an attack
5.متوسطة
Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?
AFrom the existing IV line while the infusion continues to run
BFrom two separate venipuncture sites, using strict aseptic technique
CBoth from the same site, one minute apart, to save time for the patient
DAfter the first antibiotic dose, so the infusion is not delayed
6.متوسطة
The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?
AOnly after the infusion is stopped
BAbout 3 days after the change
CAbout 6 hours after the change
DAbout 30 minutes after the change
7.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?
AAn aplastic crisis, often caused by parvovirus B19
BA normal finding in sickle cell disease
CIron deficiency from a poor diet over months
DA vaso-occlusive pain crisis in the bones
8.صعبة
Which set of results best shows that diabetic ketoacidosis is resolving?
AA closing anion gap with a rising bicarbonate and pH
BA rising potassium with a falling bicarbonate
CA falling glucose with a still widening anion gap
DA falling glucose with a falling serum bicarbonate
مفتاح الإجابات
1. C · About 35–45%
2. B · About two-thirds (60%)
3. A · 150 × 10³/µL (150 × 10⁹/L)
4. D · Gout is still possible, as urate can be normal in an attack
5. B · From two separate venipuncture sites, using strict aseptic technique
6. C · About 6 hours after the change
7. A · An aplastic crisis, often caused by parvovirus B19
8. A · A closing anion gap with a rising bicarbonate and pH
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