Lembar kerja Nilai laboratorium & elektrolit dengan jawaban
Lembar kerja Nilai laboratorium & elektrolit gratis yang dapat dicetak: 8 soal dari mudah hingga tingkat ujian, dengan kunci jawaban. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tanggal: ____________
1.Mudah
What is a typical reference range for urine specific gravity in an adult?
AAbout 1,040–1,060
BAbout 1,005–1,030
CAbout 1,100–1,300
DAbout 0,900–0,990
2.Mudah
Where is urea, measured as blood urea nitrogen (BUN), made?
AIn the muscles, from the breakdown of creatine
BIn the kidneys, from the breakdown of glucose
CIn the bone marrow, from old red blood cells
DIn the liver, from the breakdown of protein
3.Mudah
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
A90 mL/min/1,73 m²
B45 mL/min/1,73 m²
C60 mL/min/1,73 m²
D15 mL/min/1,73 m²
4.Sedang
A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?
AProtamine sulfate
BNaloxone
CCalcium gluconate
DVitamin K (phytonadione)
5.Sedang
A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7,8% (62 mmol/mol). What is the best interpretation?
AGlucose control has been excellent for the past several months
BThe result shows today's fasting glucose is above the target
CAverage glucose over the past months has been above the target
DThe patient has had frequent episodes of severe hypoglycemia
6.Sedang
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
AComplete blood count, liver tests and kidney function
BTroponin, creatine kinase and myoglobin
CSerum lithium, sodium and urine specific gravity
DSerum amylase, lipase and blood ketones
7.Sulit
Seorang pasien dengan infus heparin mengalami penurunan hitung trombosit dari 260 menjadi 110 × 10³/µL pada hari ke-7. Tindakan mana yang paling tepat?
ATidak melakukan apa-apa, karena hitungnya masih sedikit di atas 100 × 10³/µL
BMelanjutkan infus dan menaikkan kecepatan sesuai protokol
CMemberikan transfusi trombosit dan melanjutkan heparin
DSegera melaporkannya: trombositopenia akibat heparin mungkin terjadi
8.Sulit
A patient on IV gentamicin has a trough level above the target, and the creatinine has risen since yesterday. The next dose is due. What is the best action?
AGive the dose with extra oral fluids to protect the kidneys
BGive half of the dose and document the reason for it
CHold the dose and report the results to the prescriber
DGive the dose now and recheck the levels next week
Kunci jawaban
1. B · About 1,005–1,030
2. D · In the liver, from the breakdown of protein
3. D · 15 mL/min/1,73 m²
4. A · Protamine sulfate
5. C · Average glucose over the past months has been above the target
6. A · Complete blood count, liver tests and kidney function
7. D · Segera melaporkannya: trombositopenia akibat heparin mungkin terjadi
8. C · Hold the dose and report the results to the prescriber
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