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الاسم: ____________________ التاريخ: ____________
1.سهلة
أي قيمة هيموغلوبين لدى امرأة بالغة تقع دون المدى المرجعي النموذجي؟
A13,5 g/dL (135 g/L)
B9,2 g/dL (92 g/L)
C12,8 g/dL (128 g/L)
D14,6 g/dL (146 g/L)
2.سهلة
Which gland produces thyroid-stimulating hormone (TSH)?
AThe adrenal cortex
BThe thyroid gland itself
CThe anterior pituitary gland
DThe parathyroid glands
3.سهلة
متى يُسحب مستوى القاع (trough) للفانكومايسين؟
Aبعد ساعتين من بدء التسريب
Bفور انتهاء التسريب
Cقبل الجرعة التالية مباشرة، عادةً خلال 30 دقيقة منها
Dفي أي وقت مريح من اليوم، بغض النظر عن موعد الجرعة
4.متوسطة
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
AAfter about 1 year
BAfter about 24 hours
CAfter about 6–8 weeks
DAfter about 3 days
5.متوسطة
Why is a baseline platelet count taken before starting heparin therapy?
ABecause heparin is given at a dose based on the platelet count
BSo that the INR can be calculated from the platelet count later
CSo a later fall from heparin-induced thrombocytopenia is detected
DBecause heparin increases the platelet count to dangerous levels
6.متوسطة
A patient takes high-dose biotin supplements for hair and nails. Why should the nurse report this before blood tests?
ABiotin causes a true rise in blood glucose in all patients
BBiotin can distort some immunoassays, such as troponin or TSH
CBiotin lowers the hemoglobin by destroying the red cells
DBiotin makes the blood clot in the tube before testing
7.صعبة
A patient on clozapine reports a sore throat and fever. The ANC is 400/µL (0,4 × 10⁹/L). What should the nurse do?
AGive the next dose and recheck the ANC next month
BGive the dose with food to protect the stomach
CHold the clozapine and report the result at once
DHalve the dose and give it with a throat lozenge
8.صعبة
A 5-year-old has new bruising and petechiae two weeks after a viral illness. Platelets are 12 × 10³/µL; hemoglobin, white cell count and clotting times are normal. Which condition is most likely?
AHemophilia A
BAcute leukemia
CDisseminated intravascular coagulation
DImmune thrombocytopenia (ITP)
مفتاح الإجابات
1. B · 9,2 g/dL (92 g/L)
2. C · The anterior pituitary gland
3. C · قبل الجرعة التالية مباشرة، عادةً خلال 30 دقيقة منها
4. C · After about 6–8 weeks
5. C · So a later fall from heparin-induced thrombocytopenia is detected
6. B · Biotin can distort some immunoassays, such as troponin or TSH
7. C · Hold the clozapine and report the result at once
8. D · Immune thrombocytopenia (ITP)
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