ورقة عمل القيم المخبرية والشوارد مع الإجابات

Why is AST less specific for liver damage than ALT?

1. AAST is not measured in the blood at all
2. BAST is made by the bone marrow, not the liver
3. CAST is also found in heart and skeletal muscle
4. DAST is found only in the kidney tubules

Which tube additive is used for a complete blood count (CBC)?

1. ASodium fluoride (usually a gray top)
2. BSodium citrate (usually a light blue top)
3. CEDTA (usually a lavender or purple top)
4. DNo additive, clot activator (red top)

What does the reticulocyte count measure?

1. AOld red blood cells that are being removed by the spleen
2. BYoung red blood cells recently released from the bone marrow
3. CPlatelets that are larger than normal in size
4. DImmature white blood cells released during infection

A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?

1. AAdd more glucose to the next bag to clear the fluid
2. BSend the fluid for cell count and culture and report it
3. CRecord it as normal and continue the usual exchanges
4. DStop dialysis for a week and recheck the fluid later

An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?

1. AThe drug causes high potassium that lowers the glucose
2. BThe drug makes the glucose meter read falsely low
3. CThe drug stops working entirely when the kidneys fail
4. DThe drug and its metabolites build up and cause long lows

يتلقى مريض إينوكسابارين تحت الجلد (هيبارين منخفض الوزن الجزيئي). أي عبارة عن المراقبة صحيحة؟

1. Aيُستخدم INR لضبط كل جرعة كما في الوارفارين
2. Bلا حاجة أبدًا إلى أي فحوص دم من أي نوع
3. Cيجب فحص aPTT كل 6 ساعات لضبط الجرعة
4. Dلا يُجرى aPTT روتينيًا؛ بل تُفحص الصفائح ووظائف الكلى

A patient on a stable dose of levothyroxine now has a TSH of 9,8 mIU/L. She recently started taking her calcium and iron supplements with her morning levothyroxine. What is the most likely explanation?

1. AThe supplements are causing an overactive thyroid gland
2. BThe result is normal for a person on levothyroxine therapy
3. CThe TSH is low, showing that the dose is now too high
4. DThe supplements are reducing levothyroxine absorption

A patient has fever, chills, flank pain and costovertebral angle tenderness. Urinalysis shows many white cells and white cell casts. Which condition is most likely?

1. AAcute pyelonephritis
2. BSimple cystitis
3. CNephrotic syndrome
4. DGlomerulonephritis