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الاسم: ____________________ التاريخ: ____________
1.سهلة
Why is serum creatinine a better marker of kidney function than BUN?
AIt is less affected by diet, hydration and bleeding in the gut
BIt is made by the liver, so it rises in every kind of illness
CIt is affected mainly by protein intake, which is easy to control
DIt is not filtered by the kidneys, so its level stays very stable
2.سهلة
Which laboratory test is used to diagnose sickle cell disease?
ASerum ferritin and transferrin saturation
BProthrombin time with INR
CErythrocyte sedimentation rate
DHemoglobin electrophoresis
3.سهلة
متى يُسحب مستوى القاع (trough) للفانكومايسين؟
Aفور انتهاء التسريب
Bقبل الجرعة التالية مباشرة، عادةً خلال 30 دقيقة منها
Cبعد ساعتين من بدء التسريب
Dفي أي وقت مريح من اليوم، بغض النظر عن موعد الجرعة
4.متوسطة
A blood sample drawn just after a patient ate a fatty meal is reported as "lipemic." What does this mean for the results?
AThe sample shows the patient has diabetic ketoacidosis
BThe sample was contaminated by an IV fluid with dextrose
CHigh fat in the sample may interfere with some test results
DThe results are more accurate than in a fasting sample
5.متوسطة
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
AIron (low ferritin)
BFolate (folic acid)
CVitamin B12
DVitamin C (ascorbic acid)
6.متوسطة
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
AAfter about 6–8 weeks
BAfter about 1 year
CAfter about 3 days
DAfter about 24 hours
7.صعبة
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6,1 mEq/L and dark urine. Which prescribed treatment is the priority?
AAn oral potassium supplement with each meal
BHigh-dose NSAIDs for the muscle pain
CLarge-volume IV fluids with cardiac monitoring
DFluid restriction to protect the heart from overload
8.صعبة
Which cerebrospinal fluid (CSF) pattern most strongly suggests bacterial meningitis?
ACloudy fluid, low glucose, high protein, many neutrophils
BClear fluid, normal glucose, normal protein, no white cells
CClear fluid, high glucose, low protein, many red cells
DClear fluid, normal glucose, mildly raised protein, lymphocytes
مفتاح الإجابات
1. A · It is less affected by diet, hydration and bleeding in the gut
2. D · Hemoglobin electrophoresis
3. B · قبل الجرعة التالية مباشرة، عادةً خلال 30 دقيقة منها
4. C · High fat in the sample may interfere with some test results
5. C · Vitamin B12
6. A · After about 6–8 weeks
7. C · Large-volume IV fluids with cardiac monitoring
8. A · Cloudy fluid, low glucose, high protein, many neutrophils
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