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الاسم: ____________________ التاريخ: ____________
1.سهلة
What does a raised D-dimer level show?
AThe patient is taking too much warfarin
BThe platelet count is too low to stop bleeding
CFibrin clots are being formed and broken down in the body
DThe liver is no longer able to make clotting factors
2.سهلة
أي شاردة هي الشاردة السالبة الرئيسية في السائل خارج الخلايا؟
Aالكلوريد
Bالفوسفات
Cالبوتاسيوم
Dالبيكربونات
3.سهلة
What is the main role of platelets?
ATo form a plug at the site of vessel injury
BTo produce antibodies against bacteria and viruses
CTo carry oxygen and carbon dioxide in the blood
DTo break down old red cells in the spleen
4.متوسطة
أي تغير في تخطيط كهربية القلب يرتبط بنقص كالسيوم الدم؟
Aموجة دلتا بارزة
Bإطالة الفاصل QT
Cموجات T عالية مدببة
Dتقصير الفاصل QT
5.متوسطة
A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?
AFrom the right arm
BFrom the left hand
CFrom the fistula
DFrom the left wrist
6.متوسطة
Which change in clotting tests is normal in late pregnancy?
AFibrinogen and D-dimer rise
BaPTT doubles from baseline
CPlatelets rise above 600 × 10³/µL
DINR rises to about 3,0
7.صعبة
A patient with heavy alcohol use and a poor diet has a hemoglobin of 10,1 g/dL (101 g/L), an MCV of 110 fL and a low red cell folate. Which explanation fits best?
AIron deficiency from slow, chronic bleeding in the gut
BFolate deficiency, made worse by a direct alcohol effect
CThalassemia trait inherited from one of the parents
DAnemia caused by long-standing chronic kidney disease
8.صعبة
A patient without symptoms has a finger-stick glucose of 340 mg/dL (18,9 mmol/L). The previous values were normal, and the patient has just peeled an orange. What should the nurse do first?
AGive a correction dose of insulin for a glucose of 340 mg/dL
BHave the patient wash and dry their hands, then repeat the test
CReport the result as a new diagnosis of diabetes mellitus
DAsk the laboratory to measure HbA1c from the same drop of blood
مفتاح الإجابات
1. C · Fibrin clots are being formed and broken down in the body
2. A · الكلوريد
3. A · To form a plug at the site of vessel injury
4. B · إطالة الفاصل QT
5. A · From the right arm
6. A · Fibrinogen and D-dimer rise
7. B · Folate deficiency, made worse by a direct alcohol effect
8. B · Have the patient wash and dry their hands, then repeat the test
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