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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the purpose of a type and crossmatch before a transfusion?
ATo check that donor blood is compatible with the patient's blood
BTo test the donor blood for bacterial contamination only
CTo find out how quickly the patient's blood forms a clot
DTo measure how much iron is stored in the patient's bone marrow
2.سهلة
What is a typical adult reference range for serum chloride?
AAbout 98–106 mEq/L
BAbout 22–28 mEq/L
CAbout 3,5–5,0 mEq/L
DAbout 135–145 mEq/L
3.سهلة
What is the main role of fibrinogen in the blood?
AIt transports iron from the gut to the bone marrow
BIt carries oxygen from the lungs to the body tissues
CIt breaks down clots once the bleeding has stopped
DIt is converted to fibrin, which forms the mesh of a clot
4.متوسطة
A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?
ADaily oral iron and folic acid supplements only
BAn IV dose of vitamin K given for the fetus
CA transfusion of group O Rh-positive red cells
DAnti-D immunoglobulin (Rho(D) immune globulin)
5.متوسطة
A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?
ASwitch the infusion to oral warfarin without a prescription
BStop the infusion and give protamine sulfate as quickly as possible
CContinue the same rate and recheck the aPTT in a few days
DAdjust the rate as the protocol directs and recheck as scheduled
6.متوسطة
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
AThe kidneys are excreting all of the patient's insulin in urine
BThe pancreas is making very little insulin, as in type 1 diabetes
CThe patient has high insulin resistance, as in type 2 diabetes
DThe patient is injecting too much insulin and needs a lower dose
7.صعبة
After a crush injury, a patient's urine dipstick is strongly positive for blood, but microscopy shows almost no red cells. CK is very high. What best explains this?
AThe sample was contaminated with menstrual blood
BA kidney stone is scraping the ureter lining
CMyoglobin from damaged muscle is in the urine
DBleeding is coming from the bladder lining
8.صعبة
لماذا قد يكون الكرياتينين الطبيعي مضللًا لدى مسن ضعيف كتلته العضلية منخفضة؟
Aالكرياتينين الطبيعي يثبت دائمًا أن وظيفة الكلى طبيعية
Bلا تعتمد مستويات الكرياتينين على الكتلة العضلية إطلاقًا
Cكرياتينين المسنين أعلى دائمًا من كرياتينين الأصغر سنًا
Dالعضلات الأقل تنتج كرياتينين أقل، فيخفي ذلك انخفاض وظيفة الكلى
مفتاح الإجابات
1. A · To check that donor blood is compatible with the patient's blood
2. A · About 98–106 mEq/L
3. D · It is converted to fibrin, which forms the mesh of a clot
4. D · Anti-D immunoglobulin (Rho(D) immune globulin)
5. D · Adjust the rate as the protocol directs and recheck as scheduled
6. B · The pancreas is making very little insulin, as in type 1 diabetes
7. C · Myoglobin from damaged muscle is in the urine
8. D · العضلات الأقل تنتج كرياتينين أقل، فيخفي ذلك انخفاض وظيفة الكلى
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