ورقة عمل القيم المخبرية والشوارد مع الإجابات

On a liver panel, "direct bilirubin" refers to which form of bilirubin?

1. ABilirubin in the stool
2. BTotal urine urobilinogen
3. CUnconjugated bilirubin
4. DConjugated bilirubin

A patient on warfarin asks what an INR of 2,0 means. Which explanation is best?

1. AYou have twice the normal number of platelets
2. BYour blood clots about twice as fast as is normal
3. CYour blood takes about twice as long as normal to clot
4. DYour warfarin dose is twice what it should be

What does the term pancytopenia mean?

1. ALow red cells with normal platelets
2. BHigh red cells, white cells and platelets
3. CHigh white cells with low platelets
4. DLow red cells, white cells and platelets

العدد المطلق للعدلات لدى مريض 0,4 × 10³/µL. أي إجراء مناسب؟

1. Aإدخال زهور طازجة إلى الغرفة لرفع معنويات المريض
2. Bنظافة صارمة لليدين ومراقبة الحرارة ومنع الزوار المصابين بعدوى
3. Cمشاركة الغرفة مع مريض آخر يُعالَج من ذات الرئة
4. Dقياس الحرارة شرجيًا لأن القراءات أدق

A patient has a hot, swollen big toe. The serum uric acid is normal. Which statement is correct?

1. AGout can only be diagnosed with a CT scan of the foot
2. BGout is certain, as a normal urate proves the diagnosis
3. CGout is ruled out, as uric acid is always high in an attack
4. DGout is still possible, as urate can be normal in an attack

An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?

1. AThe drug makes the glucose meter read falsely low
2. BThe drug and its metabolites build up and cause long lows
3. CThe drug stops working entirely when the kidneys fail
4. DThe drug causes high potassium that lowers the glucose

A patient on clozapine reports a sore throat and fever. The ANC is 400/µL (0,4 × 10⁹/L). What should the nurse do?

1. AGive the dose with food to protect the stomach
2. BHalve the dose and give it with a throat lozenge
3. CGive the next dose and recheck the ANC next month
4. DHold the clozapine and report the result at once

نتيجة أي مريض ينبغي أن تبلغ عنها الممرضة أولًا؟

1. Aكرياتينين 1,6 mg/dL (141 µmol/L) لدى مريض بمرض كلوي مزمن مستقر معروف
2. Bكوليسترول كلي أعلى من الهدف بقليل
3. Cغلوكوز 42 mg/dL (2,3 mmol/L) لدى مريض يتعرق ومشوش
4. DHbA1c 7,4% (57 mmol/mol) لدى مريض بالسكري من النمط 2