Lembaran kerja Nilai makmal & elektrolit dengan jawapan
Lembaran kerja Nilai makmal & elektrolit percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
What is the difference between serum and plasma?
APlasma is the fluid left after blood clots, without fibrinogen
BSerum contains all the red cells, while plasma contains none
CSerum and plasma are two names for exactly the same fluid
DSerum is what is left after blood clots, minus clotting factors
2.Mudah
Apakah yang diukur oleh paras "puncak" (peak) sesuatu ubat?
AKepekatan darah terendah sebelum dos seterusnya
BKepekatan darah tertinggi selepas dos
CParas di mana ubat menjadi toksik
DParas purata sepanjang seminggu
3.Mudah
Which laboratory test is used to monitor warfarin therapy?
APlatelet count
BPT with INR
CaPTT
DD-dimer
4.Sederhana
Mengapakah kalsium keseluruhan yang rendah mesti ditafsir dengan berhati-hati pada pesakit dengan albumin serum yang rendah?
AAlbumin rendah sentiasa menyebabkan hipokalsemia sebenar yang bergejala
BAlbumin rendah menjadikan setiap ujian kalsium tidak tepat dan tidak berguna
CAlbumin dan kalsium diukur dengan tindak balas kimia yang sama, maka ia sentiasa menurun bersama
DBanyak kalsium terikat pada albumin, maka kalsium keseluruhan menurun walaupun kalsium terion normal
5.Sederhana
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
AUnderfilled tubes always give a falsely low hemoglobin and hematocrit
BThe blood-to-anticoagulant ratio must be right for accurate clotting times
CThe laboratory charges extra when a tube is not filled correctly
DAn overfull tube is needed to measure the potassium level
6.Sederhana
A patient on warfarin has an INR of 7.8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?
ANaloxone hydrochloride
BAcetylcysteine
CProtamine sulfate
DVitamin K (phytonadione)
7.Sukar
A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?
ARapid infusion of 3% saline to raise the volume
BA loop diuretic to remove the extra sodium quickly
CStrict fluid restriction to below 800 mL a day
DGradual replacement of free water over many hours
8.Sukar
A patient on high-dose dexamethasone has a white cell count of 15 × 10³/µL, mostly mature neutrophils with no bands. They have no fever and no signs of infection. What is the most likely explanation?
AA steroid effect that moves neutrophils into the circulating blood
BA new leukemia that is confirmed by this result alone
CCertain sepsis that needs antibiotics started without delay
DA laboratory error, because steroids always lower the white count
Kunci jawapan
1. D · Serum is what is left after blood clots, minus clotting factors
2. B · Kepekatan darah tertinggi selepas dos
3. B · PT with INR
4. D · Banyak kalsium terikat pada albumin, maka kalsium keseluruhan menurun walaupun kalsium terion normal
5. B · The blood-to-anticoagulant ratio must be right for accurate clotting times
6. D · Vitamin K (phytonadione)
7. D · Gradual replacement of free water over many hours
8. A · A steroid effect that moves neutrophils into the circulating blood
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