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الاسم: ____________________ التاريخ: ____________
1.سهلة
Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?
AIt has a short half-life, so it changes within days
BIt is measured in urine, so no blood test is needed
CIt is not affected by inflammation or liver disease
DIt has a long half-life, so it changes over months
2.سهلة
Which laboratory test is used to monitor warfarin therapy?
AaPTT
BPlatelet count
CD-dimer
DPT with INR
3.سهلة
يُعرَّف نقص العدلات (neutropenia) عادةً بأن العدد المطلق للعدلات (ANC) أقل من نحو:
A1,5 × 10³/µL (1500/mm³)
B15 × 10³/µL (15 000/mm³)
C5,0 × 10³/µL (5000/mm³)
D150 × 10³/µL (150 000/mm³)
4.متوسطة
أي قيمة مخبرية تعكس على أفضل وجه سبب التشوش لدى مريض بمرض كبدي شديد ورعاش رفرفي؟
Aارتفاع التروبونين
Bانخفاض ليباز المصل
Cانخفاض بوتاسيوم المصل فقط
Dارتفاع الأمونيا في المصل
5.متوسطة
A stable adult who is not bleeding receives one unit of packed red cells. By about how much is the hemoglobin expected to rise?
AAbout 5 g/dL (50 g/L)
BAbout 3 g/dL (30 g/L)
CAbout 0,1 g/dL (1 g/L)
DAbout 1 g/dL (10 g/L)
6.متوسطة
An older adult with chronic kidney disease starts trimethoprim-sulfamethoxazole for a urinary tract infection. Which electrolyte should be monitored closely?
AChloride, because the drug causes chloride loss
BSodium, because the drug causes heavy sodium retention
CCalcium, because the drug binds calcium in the gut
DPotassium, because trimethoprim can raise it
7.صعبة
A patient receiving parenteral nutrition with lipid emulsion has a triglyceride level of 620 mg/dL (7,0 mmol/L). Why is this result important?
AIt raises the risk of acute pancreatitis
BIt is a normal fasting value for adults
CIt means the patient needs more lipid
DIt shows the nutrition is fully effective
8.صعبة
A health care worker's hepatitis B tests show: HBsAg negative, anti-HBs positive, anti-HBc positive. What does this mean?
AImmunity from vaccination only, never infected
BPast infection that has resolved, with immunity
CNot immune and never exposed to the virus
DCurrent chronic hepatitis B infection
مفتاح الإجابات
1. A · It has a short half-life, so it changes within days
2. D · PT with INR
3. A · 1,5 × 10³/µL (1500/mm³)
4. D · ارتفاع الأمونيا في المصل
5. D · About 1 g/dL (10 g/L)
6. D · Potassium, because trimethoprim can raise it
7. A · It raises the risk of acute pancreatitis
8. B · Past infection that has resolved, with immunity
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