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الاسم: ____________________ التاريخ: ____________
1.سهلة
Serum amylase is less specific than lipase for pancreatitis because amylase also comes from:
AThe salivary glands
BThe bone marrow
CThe heart muscle
DThe thyroid gland
2.سهلة
يسمى بوتاسيوم المصل 5,9 mEq/L:
Aفرط بوتاسيوم الدم (Hyperkalemia)
Bنقص بوتاسيوم الدم (Hypokalemia)
Cفرط كالسيوم الدم (Hypercalcemia)
Dفرط صوديوم الدم (Hypernatremia)
3.سهلة
What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?
AAbout 35–45 mEq/L
BAbout 22–28 mEq/L
CAbout 8–12 mEq/L
DAbout 98–106 mEq/L
4.متوسطة
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
AThe test is useless and should always be ignored
BA DVT is unlikely and can usually be ruled out
CA pulmonary embolism is now certain to be present
DA DVT is confirmed and anticoagulation is needed
5.متوسطة
A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?
AHigh sodium and high calcium
BHigh potassium and high bicarbonate
CLow glucose and high magnesium
DLow potassium and low bicarbonate
6.متوسطة
A patient with type 1 diabetes has the flu, is eating little and has a glucose of 290 mg/dL (16,1 mmol/L). Which advice is correct?
AKeep taking insulin and check blood or urine ketones
BWait 3 days before checking the glucose again
CDrink only water and avoid all carbohydrate foods
DStop all insulin until you are eating normally again
7.صعبة
The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?
A"I'll ask whether any foods or drugs should be avoided first"
B"I'll empty my bladder at the end time and add that urine"
C"If I forget to save one void, I'll just carry on to the end"
D"I'll keep the container cool as the laboratory told me to"
8.صعبة
A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?
AMagnesium causes potassium loss, so the kidneys release more fluid
BMagnesium is excreted by the kidneys, so it can build up to toxic levels
CMagnesium is broken down by the liver, so it will stop working soon
DPoor kidney function makes the magnesium level fall quickly
مفتاح الإجابات
1. A · The salivary glands
2. A · فرط بوتاسيوم الدم (Hyperkalemia)
3. B · About 22–28 mEq/L
4. B · A DVT is unlikely and can usually be ruled out
5. D · Low potassium and low bicarbonate
6. A · Keep taking insulin and check blood or urine ketones
7. C · "If I forget to save one void, I'll just carry on to the end"
8. B · Magnesium is excreted by the kidneys, so it can build up to toxic levels
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