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 usual diagnostic cut-off for diabetes on a fasting plasma glucose test, when confirmed on a second test?
A126 mg/dL (7.0 mmol/L) or higher
B100 mg/dL (5.6 mmol/L) or higher
C110 mg/dL (6.1 mmol/L) or higher
D200 mg/dL (11.1 mmol/L) or higher
2.Mudah
Nilai hemoglobin manakah pada wanita dewasa yang berada di bawah julat rujukan lazim?
A12.8 g/dL (128 g/L)
B9.2 g/dL (92 g/L)
C14.6 g/dL (146 g/L)
D13.5 g/dL (135 g/L)
3.Mudah
Which condition commonly causes a high serum potassium?
ARepeated vomiting
BSevere diarrhea
CKidney failure
DLoop diuretic use
4.Sederhana
Seorang pesakit dengan infusi heparin mempunyai aPTT 110 saat; sasaran protokol ialah 1.5–2.5 kali kawalan 30 saat. Apakah yang patut dilakukan oleh jururawat?
ATeruskan tanpa perubahan dan ulang aPTT pada pagi esok
BBeri vitamin K seperti yang ditetapkan dan teruskan infusi
CIkut protokol heparin, periksa pendarahan dan maklumkan pembekal penjagaan
DTingkatkan kadar infusi, kerana keputusan berada di atas julat sasaran
5.Sederhana
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
AThe test is useless and should always be ignored
BA DVT is confirmed and anticoagulation is needed
CA DVT is unlikely and can usually be ruled out
DA pulmonary embolism is now certain to be present
6.Sederhana
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
AIt is the only test that can measure glucose and ketones together
BIt measures the main ketone in DKA, and the dipstick may miss it
CThe urine dipstick only detects ketones in people without diabetes
DIt shows the average ketone level over the past three months
7.Sukar
A health care worker's hepatitis B tests show: HBsAg negative, anti-HBs positive, anti-HBc positive. What does this mean?
ANot immune and never exposed to the virus
BCurrent chronic hepatitis B infection
CImmunity from vaccination only, never infected
DPast infection that has resolved, with immunity
8.Sukar
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?
ALarge-volume IV fluids with cardiac monitoring
BFluid restriction to protect the heart from overload
CAn oral potassium supplement with each meal
DHigh-dose NSAIDs for the muscle pain
Kunci jawapan
1. A · 126 mg/dL (7.0 mmol/L) or higher
2. B · 9.2 g/dL (92 g/L)
3. C · Kidney failure
4. C · Ikut protokol heparin, periksa pendarahan dan maklumkan pembekal penjagaan
5. C · A DVT is unlikely and can usually be ruled out
6. B · It measures the main ketone in DKA, and the dipstick may miss it
7. D · Past infection that has resolved, with immunity
8. A · Large-volume IV fluids with cardiac monitoring
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