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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which tube additive is used for a complete blood count (CBC)?
ANo additive, clot activator (red top)
BEDTA (usually a lavender or purple top)
CSodium fluoride (usually a gray top)
DSodium citrate (usually a light blue top)
2.سهلة
يسمى صوديوم المصل 128 mEq/L:
Aنقص صوديوم الدم (Hyponatremia)
Bنقص بوتاسيوم الدم (Hypokalemia)
Cفرط بوتاسيوم الدم (Hyperkalemia)
Dفرط صوديوم الدم (Hypernatremia)
3.سهلة
Which laboratory test best reflects the body's iron stores?
ASerum sodium
BSerum ferritin
CSerum albumin
DPlatelet count
4.متوسطة
An older adult with chronic kidney disease starts trimethoprim-sulfamethoxazole for a urinary tract infection. Which electrolyte should be monitored closely?
APotassium, because trimethoprim can raise it
BCalcium, because the drug binds calcium in the gut
CChloride, because the drug causes chloride loss
DSodium, because the drug causes heavy sodium retention
5.متوسطة
A patient's eGFR has fallen to 24 mL/min/1,73 m². Which prescribed drug should the nurse question before giving it?
AAcetaminophen (paracetamol)
BLevothyroxine
CInsulin glargine
DMetformin
6.متوسطة
A patient on levothyroxine has palpitations, weight loss and a TSH of 0,05 mIU/L. What is the most likely explanation?
AThe levothyroxine dose is too low
BThe patient has stopped the drug
CThe thyroid is now completely normal
DThe levothyroxine dose is too high
7.صعبة
Weeks after neck surgery, a patient has muscle cramps and tingling. Calcium is low, phosphate is high and parathyroid hormone (PTH) is low. Which condition fits best?
AVitamin D toxicity
BHypoparathyroidism
CChronic kidney disease
DPrimary hyperparathyroidism
8.صعبة
A patient in hyperosmolar hyperglycemic state has a glucose of 1,050 mg/dL (58 mmol/L), very dry mucous membranes and a fast pulse. Which treatment is usually the first priority?
AOral glucose-lowering tablets
BLarge-volume IV fluid replacement
CAn IV bolus of sodium bicarbonate
DStrict fluid restriction
مفتاح الإجابات
1. B · EDTA (usually a lavender or purple top)
2. A · نقص صوديوم الدم (Hyponatremia)
3. B · Serum ferritin
4. A · Potassium, because trimethoprim can raise it
5. D · Metformin
6. D · The levothyroxine dose is too high
7. B · Hypoparathyroidism
8. B · Large-volume IV fluid replacement
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