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الاسم: ____________________ التاريخ: ____________
1.سهلة
The tumor marker CA-125 is most often used to follow which cancer?
AOvarian cancer
BColon cancer
CLung cancer
DThyroid cancer
2.سهلة
أي علامة نموذجية لارتفاع مغنيزيوم المصل؟
Aتشنج رسغي عند نفخ الكمّة
Bرغبة شديدة في شرب الماء
Cانخفاض المنعكسات الوترية العميقة أو غيابها
Dمنعكسات مفرطة النشاط واختلاج عضلي
3.سهلة
A blood lactate level above about which value is usually considered raised in an adult?
A2 mmol/L
B20 mmol/L
C0,2 mmol/L
D10 mmol/L
4.متوسطة
When should a blood specimen tube be labeled?
ABefore entering the room, so tubes are ready for the next patients
BAt the nurses' station, after all samples for the shift are drawn
CAt the bedside, in the patient's presence, using two identifiers
DIn the laboratory, by the staff who receive the unlabeled sample
5.متوسطة
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
AIron (low ferritin)
BFolate (folic acid)
CVitamin B12
DVitamin C (ascorbic acid)
6.متوسطة
A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13,0 to 11,4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?
ADilution of the blood by the IV fluid
BIncreased red cell production
CA laboratory error in the first sample
DA sudden failure of the bone marrow
7.صعبة
A 68-year-old man has fatigue, a hemoglobin of 9,8 g/dL (98 g/L), an MCV of 72 fL and a low ferritin. He eats a normal diet. What is the most important next step?
ALook for a source of blood loss in the gut
BRepeat the blood count in one year
CGive iron and do no further tests at all
DStart vitamin B12 injections
8.صعبة
A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?
AA vaso-occlusive pain crisis in the bones
BIron deficiency from a poor diet over months
CAn aplastic crisis, often caused by parvovirus B19
DA normal finding in sickle cell disease
مفتاح الإجابات
1. A · Ovarian cancer
2. C · انخفاض المنعكسات الوترية العميقة أو غيابها
3. A · 2 mmol/L
4. C · At the bedside, in the patient's presence, using two identifiers
5. C · Vitamin B12
6. A · Dilution of the blood by the IV fluid
7. A · Look for a source of blood loss in the gut
8. C · An aplastic crisis, often caused by parvovirus B19
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