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 main effect of aldosterone on the kidneys?
ASodium is excreted and potassium is retained
BCalcium is retained and phosphate is excreted
CGlucose is retained and urea is excreted
DSodium is retained and potassium is excreted
2.Mudah
What is the typical range of urine pH?
AAbout 7.35–7.45
BAbout 1.0–2.0
CAbout 9.0–11.0
DAbout 4.5–8.0
3.Mudah
On urinalysis, dark amber urine with a high specific gravity most often suggests:
AVery dilute urine from high fluid intake
BConcentrated urine from low fluid intake
CNormal urine after drinking extra water
DUrine with a large amount of glucose
4.Sederhana
A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?
AAn expected effect of the drug
BA sign of kidney failure
CUncontrolled diabetes needing insulin
DA urinary tract infection
5.Sederhana
Nilai makmal manakah yang paling baik menggambarkan punca kekeliruan pada pesakit dengan penyakit hati yang teruk dan getaran mengibas?
AAmmonia serum yang meningkat
BKalium serum rendah sahaja
CTroponin yang meningkat
DLipase serum yang rendah
6.Sederhana
Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?
AFrom the existing IV line while the infusion continues to run
BAfter the first antibiotic dose, so the infusion is not delayed
CBoth from the same site, one minute apart, to save time for the patient
DFrom two separate venipuncture sites, using strict aseptic technique
7.Sukar
A patient with blood pressure that is hard to control has a potassium of 2.9 mEq/L, a sodium of 144 mEq/L and a raised serum bicarbonate, without taking a diuretic. Which condition is most likely?
APrimary hyperaldosteronism
BPrimary adrenal insufficiency
CSyndrome of inappropriate ADH
DCentral diabetes insipidus
8.Sukar
A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T4 is low. What is the most likely explanation?
AAmiodarone-induced hypothyroidism
BAmiodarone-induced hyperthyroidism
CA normal response to amiodarone needing no action
DSecondary hypothyroidism from pituitary failure
Kunci jawapan
1. D · Sodium is retained and potassium is excreted
2. D · About 4.5–8.0
3. B · Concentrated urine from low fluid intake
4. A · An expected effect of the drug
5. A · Ammonia serum yang meningkat
6. D · From two separate venipuncture sites, using strict aseptic technique
7. A · Primary hyperaldosteronism
8. A · Amiodarone-induced hypothyroidism
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