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الاسم: ____________________ التاريخ: ____________
1.سهلة
ما المدى المرجعي النموذجي لصوديوم المصل لدى البالغين؟
A135–145 mEq/L
B95–105 mEq/L
C150–165 mEq/L
D3,5–5,0 mEq/L
2.سهلة
What is a typical adult reference range for thyroid-stimulating hormone (TSH)?
AAbout 0,01–0,04 mIU/L
BAbout 40–80 mIU/L
CAbout 10–20 mIU/L
DAbout 0,4–4,0 mIU/L
3.سهلة
What is the typical range of urine pH?
AAbout 1,0–2,0
BAbout 9,0–11,0
CAbout 7,35–7,45
DAbout 4,5–8,0
4.متوسطة
A breathless patient in the emergency department has a BNP below 100 pg/mL. What does this suggest?
ASevere heart failure is certainly the cause of the problem
BHeart failure is an unlikely cause of the breathlessness
CThe kidneys are failing and the patient needs dialysis
DThe patient has had a myocardial infarction in the past day
5.متوسطة
A patient has taken a proton pump inhibitor (such as omeprazole) for many years and now has muscle cramps and tremor. Which electrolyte is most likely to be low?
AChloride
BSodium
CMagnesium
DPhosphate
6.متوسطة
A stool test for Clostridioides difficile is ordered. Which sample is appropriate?
AA rectal swab from a patient with constipation
BAny stool after a laxative dose
CA formed, hard stool sample
DAn unformed (liquid or soft) stool
7.صعبة
Which set of results best shows that diabetic ketoacidosis is resolving?
AA closing anion gap with a rising bicarbonate and pH
BA rising potassium with a falling bicarbonate
CA falling glucose with a still widening anion gap
DA falling glucose with a falling serum bicarbonate
8.صعبة
A patient taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10,5 mmol/L), pH 7,15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?
AEuglycemic diabetic ketoacidosis
BHyperosmolar hyperglycemic state
CRespiratory acidosis from COPD
DSimple fasting ketosis only
مفتاح الإجابات
1. A · 135–145 mEq/L
2. D · About 0,4–4,0 mIU/L
3. D · About 4,5–8,0
4. B · Heart failure is an unlikely cause of the breathlessness
5. C · Magnesium
6. D · An unformed (liquid or soft) stool
7. A · A closing anion gap with a rising bicarbonate and pH
8. A · Euglycemic diabetic ketoacidosis
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