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الاسم: ____________________ التاريخ: ____________
1.سهلة
أي شاردة هي الشاردة الموجبة الرئيسية في السائل داخل الخلايا؟
Aالكلوريد
Bالصوديوم
Cالبوتاسيوم
Dالكالسيوم
2.سهلة
Serum creatinine comes mainly from:
AThe breakdown of dietary fat in the liver
BThe digestion of protein by gut bacteria
CThe normal breakdown of creatine in muscle
DThe breakdown of old red cells in the spleen
3.سهلة
Using American Diabetes Association (ADA) criteria, a fasting plasma glucose of 100–125 mg/dL (5,6–6,9 mmol/L) is classed as:
ANormal fasting glucose for an adult
BPrediabetes (impaired fasting glucose)
CMild hypoglycemia (low glucose)
DType 1 diabetes mellitus
4.متوسطة
مريض مصاب باضطراب نظم بطيني يظهر على الشاشة نمط ملتوٍ (torsades de pointes). أي شاردة تُعطى عادةً وريديًا للعلاج؟
Aكبريتات المغنيزيوم
Bكربونات الكالسيوم
Cفوسفات البوتاسيوم
Dبيكربونات الصوديوم
5.متوسطة
How should a patient collect a clean-catch midstream urine sample?
AFill the cup completely, then add tap water if there is not enough
BCollect the very first urine of the stream directly in the sterile cup
CClean the area, start voiding into the toilet, then catch the middle part
DCollect urine from the toilet bowl after voiding into the toilet
6.متوسطة
Which instruction is correct for a patient taking an oral potassium chloride supplement?
AUse a salt substitute as well, so less of the tablet is needed each day
BTake it on an empty stomach with only a small sip of water to speed absorption
CTake it with food and a full glass of water, and do not crush extended-release tablets
DCrush the extended-release tablets and mix them with a little water if needed
7.صعبة
A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2,3 without warfarin, and the platelets are normal. What is the most likely cause?
AVitamin K deficiency
BImmune thrombocytopenia
CIron-deficiency anemia
DHemophilia A
8.صعبة
A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?
AIV hydration, a uric acid-lowering drug and frequent electrolytes
BNo special measures, because the risk starts only after a week
CFluid restriction and a high-potassium diet before the treatment
DCalcium supplements and a high-phosphate diet during treatment
مفتاح الإجابات
1. C · البوتاسيوم
2. C · The normal breakdown of creatine in muscle
3. B · Prediabetes (impaired fasting glucose)
4. A · كبريتات المغنيزيوم
5. C · Clean the area, start voiding into the toilet, then catch the middle part
6. C · Take it with food and a full glass of water, and do not crush extended-release tablets
7. A · Vitamin K deficiency
8. A · IV hydration, a uric acid-lowering drug and frequent electrolytes
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