ورقة عمل القيم المخبرية والشوارد مع الإجابات

Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?

1. AIt has a short half-life, so it changes within days
2. BIt is not affected by inflammation or liver disease
3. CIt has a long half-life, so it changes over months
4. DIt is measured in urine, so no blood test is needed

What does a raised D-dimer level show?

1. AThe platelet count is too low to stop bleeding
2. BThe patient is taking too much warfarin
3. CThe liver is no longer able to make clotting factors
4. DFibrin clots are being formed and broken down in the body

Why is AST less specific for liver damage than ALT?

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

A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?

1. AAfter about 3 days
2. BAfter about 24 hours
3. CAfter about 6–8 weeks
4. DAfter about 1 year

A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?

1. AFrom the right arm
2. BFrom the left hand
3. CFrom the left wrist
4. DFrom the fistula

بدأ مريض يتناول الوارفارين تناول كميات كبيرة يوميًا من اللفت الأخضر والسبانخ، وانخفض INR لديه. ما النصيحة الأنسب؟

1. Aإيقاف الوارفارين إلى أن يعود النظام الغذائي طبيعيًا
2. Bمضاعفة جرعة الوارفارين دون إخبار الواصف
3. Cعدم تناول الخضروات الخضراء مرة أخرى أبدًا
4. Dالحفاظ على ثبات تناول الأطعمة الغنية بفيتامين K من يوم إلى آخر

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. CAcute viral hepatitis with widespread liver cell damage
4. DBlockage of bile flow, for example by a tumor in the bile duct

A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?

1. AGive oral glucose in case the reading is wrong and the patient is low
2. BAssume the meter is broken and give the usual insulin dose
3. CSend a venous sample to the lab and inform the provider at once
4. DRecord "HI" and repeat the meter test at the next scheduled time