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الاسم: ____________________ التاريخ: ____________
1.سهلة
ما المدى العلاجي المذكور عادةً للفالبروات (حمض الفالبرويك) الكلي في المصل في الصرع؟
Aنحو 5–10 mcg/mL (mg/L)
Bنحو 50–100 mcg/mL (mg/L)
Cنحو 500–1000 mcg/mL (mg/L)
Dنحو 0,6–1,2 mcg/mL (mg/L)
2.سهلة
كثافة نوعية للبول 1,035 توحي على الأرجح بـ:
Aبول مركّز، كما في الجفاف
Bبول مخفف جدًا، كما في السكري الكاذب
Cعدوى في المسالك البولية
Dبول طبيعي لكل مريض
3.سهلة
A blood lactate level above about which value is usually considered raised in an adult?
A0,2 mmol/L
B2 mmol/L
C20 mmol/L
D10 mmol/L
4.متوسطة
Which blood collection practice helps prevent hemolysis of the sample?
AForcing blood quickly through a needle into the tube
BGently inverting the tubes instead of shaking them
CLeaving the tourniquet on for at least 3 minutes
DUsing the smallest needle available for every patient
5.متوسطة
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
ARanges cover about 95% of healthy people, so some fall outside
BAny result outside the range always means disease is present
CReference ranges are the same in every laboratory worldwide
DReference ranges include every healthy person without exception
6.متوسطة
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
AIt shows the average ketone level over the past three months
BThe urine dipstick only detects ketones in people without diabetes
CIt is the only test that can measure glucose and ketones together
DIt measures the main ketone in DKA, and the dipstick may miss it
7.صعبة
A nursing student has a positive interferon-gamma release assay (IGRA) for tuberculosis, no symptoms and a normal chest X-ray. What does this most likely mean?
ALatent TB infection, which is not contagious
BA false result, as the test does not detect TB
CPast BCG vaccination only, with no infection
DActive pulmonary TB, which is contagious
8.صعبة
A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1,8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8,8 mmol/L). Which condition fits best?
APrerenal kidney injury
BAcute pyelonephritis
CLiver cirrhosis only
DNephrotic syndrome
مفتاح الإجابات
1. B · نحو 50–100 mcg/mL (mg/L)
2. A · بول مركّز، كما في الجفاف
3. B · 2 mmol/L
4. B · Gently inverting the tubes instead of shaking them
5. A · Ranges cover about 95% of healthy people, so some fall outside
6. D · It measures the main ketone in DKA, and the dipstick may miss it
7. A · Latent TB infection, which is not contagious
8. D · Nephrotic syndrome
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