ورقة عمل القيم المخبرية والشوارد مع الإجابات

Which laboratory test is used to monitor warfarin therapy?

1. APlatelet count
2. BPT with INR
3. CaPTT
4. DD-dimer

Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?

1. AHeat intolerance, tremor, weight loss and diarrhea
2. BJaundice, itching, pale stools and dark urine
3. CTetany, muscle cramps, tingling and seizures
4. DKidney stones, bone pain, abdominal pain and confusion

يدعم ارتفاع الببتيد الناتريوريتي من النمط B (BNP) لدى مريض يعاني ضيق النفس أي حالة بأقوى شكل؟

1. Aنوبة الربو
2. Bذات الرئة
3. Cنوبة الهلع
4. Dقصور القلب

Why is a baseline platelet count taken before starting heparin therapy?

1. ABecause heparin increases the platelet count to dangerous levels
2. BSo that the INR can be calculated from the platelet count later
3. CBecause heparin is given at a dose based on the platelet count
4. DSo a later fall from heparin-induced thrombocytopenia is detected

A patient with hyperkalemia is prescribed an oral potassium binder such as patiromer or sodium zirconium cyclosilicate. How does this drug lower potassium?

1. AIt moves potassium into cells in the next few minutes
2. BIt protects the heart muscle against high potassium levels
3. CIt binds potassium in the gut so it leaves in the stool
4. DIt stops the kidneys from absorbing water in the tubules

A patient with a potassium of 2,8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?

1. AIt is added to the IV bag without mixing, so it stays at the bottom
2. BIt may be given as a slow IV push over one minute if the level is very low
3. CIt is given as an undiluted bolus into a large vein to avoid irritation
4. DIt is always diluted and given by infusion pump, never as an IV push

Two weeks after a sore throat, a child develops dark (cola-colored) urine, puffy eyes and high blood pressure. Urinalysis shows red cell casts and protein. Which condition is most likely?

1. APost-streptococcal glomerulonephritis
2. BKidney stone in the ureter
3. CLower urinary tract infection (cystitis)
4. DPrerenal acute kidney injury

A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?

1. AGilbert syndrome, a harmless inherited bilirubin disorder
2. BIncreased breakdown of red blood cells (hemolytic anemia)
3. CBlockage of bile flow, for example by a tumor in the bile duct
4. DAcute viral hepatitis with widespread liver cell damage