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الاسم: ____________________ التاريخ: ____________
1.سهلة
Why is AST less specific for liver damage than ALT?
AAST is made by the bone marrow, not the liver
BAST is found only in the kidney tubules
CAST is not measured in the blood at all
DAST is also found in heart and skeletal muscle
2.سهلة
ما المدى المرجعي النموذجي لبوتاسيوم المصل لدى البالغين؟
A1,3–2,1 mEq/L
B6,0–8,0 mEq/L
C135–145 mEq/L
D3,5–5,0 mEq/L
3.سهلة
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
AActivated partial thromboplastin time (aPTT)
BPlatelet function assay (PFA-100 test)
CErythrocyte sedimentation rate (ESR)
DInternational normalized ratio (INR)
4.متوسطة
The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?
AAbout 3 days after the change
BAbout 6 hours after the change
CAbout 30 minutes after the change
DOnly after the infusion is stopped
5.متوسطة
A nurse completed the hepatitis B vaccine series. Which result shows protective immunity?
AA positive IgM anti-HBc
BAnti-HBs of 10 mIU/mL or more
CA raised ALT level
DA positive HBsAg test
6.متوسطة
A stable adult who is not bleeding receives one unit of packed red cells. By about how much is the hemoglobin expected to rise?
AAbout 1 g/dL (10 g/L)
BAbout 5 g/dL (50 g/L)
CAbout 3 g/dL (30 g/L)
DAbout 0,1 g/dL (1 g/L)
7.صعبة
A patient has a positive hepatitis C antibody (anti-HCV) test. What is the most appropriate next step?
AGive hepatitis C vaccine to prevent further infection
BRepeat the antibody test, as a positive test is always false
CTell the patient they definitely have chronic hepatitis C
DTest for HCV RNA to find out whether infection is current
8.صعبة
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
APersistent bacteremia, as in infective endocarditis
BContamination of all three samples during collection
CA urinary tract infection that has spread to the skin
DA normal finding in patients with heart murmurs
مفتاح الإجابات
1. D · AST is also found in heart and skeletal muscle
2. D · 3,5–5,0 mEq/L
3. A · Activated partial thromboplastin time (aPTT)
4. B · About 6 hours after the change
5. B · Anti-HBs of 10 mIU/mL or more
6. A · About 1 g/dL (10 g/L)
7. D · Test for HCV RNA to find out whether infection is current
8. A · Persistent bacteremia, as in infective endocarditis
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