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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is a typical adult reference range for serum chloride?
AAbout 135–145 mEq/L
BAbout 22–28 mEq/L
CAbout 98–106 mEq/L
DAbout 3,5–5,0 mEq/L
2.سهلة
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
ANormal
BAbsent
CLow
DHigh
3.سهلة
Where are urinary casts formed?
AIn the ureters
BIn the urinary bladder
CIn the urethra
DIn the kidney tubules
4.متوسطة
For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?
AAbout 250–300 mg/dL (13,9–16,7 mmol/L)
BAbout 60–80 mg/dL (3,3–4,4 mmol/L)
CAbout 300–350 mg/dL (16,7–19,4 mmol/L)
DAbout 140–180 mg/dL (7,8–10 mmol/L)
5.متوسطة
A patient's potassium is 7,0 mEq/L. Which ECG change would the nurse expect?
AFlattened T waves
BTall, peaked T waves
CDelta waves before the QRS
DProminent U waves
6.متوسطة
A patient with chronic kidney disease has a magnesium of 3,8 mEq/L (1,9 mmol/L). Which product is the most likely cause?
AProton pump inhibitors taken long term
BExcess alcohol use over many years
CMagnesium-containing laxatives or antacids
DLoop diuretics such as furosemide
7.صعبة
A patient who had pituitary surgery has fatigue and cold intolerance. The free T4 is low and the TSH is low. What does this pattern suggest?
ANormal thyroid function with a laboratory error in T4
BHyperthyroidism from overactivity of the thyroid gland
CSecondary (central) hypothyroidism from pituitary failure
DPrimary hypothyroidism from failure of the thyroid gland
8.صعبة
A health care worker's hepatitis B tests show: HBsAg negative, anti-HBs positive, anti-HBc positive. What does this mean?
ACurrent chronic hepatitis B infection
BNot immune and never exposed to the virus
CPast infection that has resolved, with immunity
DImmunity from vaccination only, never infected
مفتاح الإجابات
1. C · About 98–106 mEq/L
2. D · High
3. D · In the kidney tubules
4. D · About 140–180 mg/dL (7,8–10 mmol/L)
5. B · Tall, peaked T waves
6. C · Magnesium-containing laxatives or antacids
7. C · Secondary (central) hypothyroidism from pituitary failure
8. C · Past infection that has resolved, with immunity
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