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1.سهلة
What is the purpose of a type and crossmatch before a transfusion?
ATo measure how much iron is stored in the patient's bone marrow
BTo check that donor blood is compatible with the patient's blood
CTo test the donor blood for bacterial contamination only
DTo find out how quickly the patient's blood forms a clot
2.سهلة
ما المدى المرجعي النموذجي لأسمولية المصل؟
Aنحو 275–295 mOsm/kg
Bنحو 400–500 mOsm/kg
Cنحو 50–100 mOsm/kg
Dنحو 135–145 mOsm/kg
3.سهلة
What is a "critical value" (panic value) in laboratory reporting?
AAny result that is slightly outside the laboratory reference range
BA result that is normal but differs from the patient's last value
CA result so abnormal that it may threaten life and needs prompt action
DA result that the laboratory could not measure because of a bad sample
4.متوسطة
A patient who is breathless during a transfusion has hypotension, fever and bilateral lung infiltrates, with no signs of fluid overload. Which complication is most likely?
AA simple allergic reaction with hives
BTransfusion-related acute lung injury (TRALI)
CA mild febrile nonhemolytic reaction
DTransfusion-associated circulatory overload
5.متوسطة
A patient with hyperkalemia received IV regular insulin with dextrose. Which result must the nurse monitor closely over the next hours?
AHemoglobin, because insulin causes red cell loss
BSerum calcium, because it falls sharply
CBlood glucose, because hypoglycemia can occur
DSerum sodium, because it rises quickly
6.متوسطة
A patient taking furosemide has a potassium of 3,3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?
ADried apricots
BRice cakes
CPlain crackers
DWhite bread
7.صعبة
A young adult has fatigue, bruising and fever. The white cell count is 85 × 10³/µL with many blasts, the hemoglobin is 7,9 g/dL (79 g/L) and the platelets are 22 × 10³/µL. What is the most likely diagnosis?
APolycythemia vera
BAcute leukemia
CIron-deficiency anemia
DAcute viral infection
8.صعبة
A patient in hyperosmolar hyperglycemic state has a glucose of 1,050 mg/dL (58 mmol/L), very dry mucous membranes and a fast pulse. Which treatment is usually the first priority?
AOral glucose-lowering tablets
BStrict fluid restriction
CLarge-volume IV fluid replacement
DAn IV bolus of sodium bicarbonate
مفتاح الإجابات
1. B · To check that donor blood is compatible with the patient's blood
2. A · نحو 275–295 mOsm/kg
3. C · A result so abnormal that it may threaten life and needs prompt action
4. B · Transfusion-related acute lung injury (TRALI)
5. C · Blood glucose, because hypoglycemia can occur
6. A · Dried apricots
7. B · Acute leukemia
8. C · Large-volume IV fluid replacement
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