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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the usual target INR for a patient taking warfarin for a deep vein thrombosis?
A0,8–1,2
B4,0–5,0
C1,0–1,5
D2,0–3,0
2.سهلة
أي شاردة هي الشاردة الموجبة الرئيسية في السائل داخل الخلايا؟
Aالكلوريد
Bالصوديوم
Cالبوتاسيوم
Dالكالسيوم
3.سهلة
Which antibody test is most specific for rheumatoid arthritis?
AAnti-D antibody
BAntinuclear antibody
CAnti-CCP antibodies
DAnti-HBs antibody
4.متوسطة
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
AIn the afternoon and evening
BThe glucose will not change
CIn the early morning, before the dose
DAt midnight only
5.متوسطة
مريض بتشمع الكبد ألبومين مصله 2,2 g/dL (22 g/L). أي علامة هي الأكثر ارتباطًا بذلك؟
Aفرط بوتاسيوم الدم
Bالوذمة والاستسقاء
Cارتفاع ضغط الدم
Dزيادة كمية البول
6.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
COnly after the infusion is stopped
DAbout 30 minutes after the change
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?
ABleeding is coming from the bladder lining
BThe sample was contaminated with menstrual blood
CA kidney stone is scraping the ureter lining
DMyoglobin from damaged muscle is in the urine
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
BA normal finding in patients with heart murmurs
CA urinary tract infection that has spread to the skin
DContamination of all three samples during collection
مفتاح الإجابات
1. D · 2,0–3,0
2. C · البوتاسيوم
3. C · Anti-CCP antibodies
4. A · In the afternoon and evening
5. B · الوذمة والاستسقاء
6. B · About 6 hours after the change
7. D · Myoglobin from damaged muscle is in the urine
8. A · Persistent bacteremia, as in infective endocarditis
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