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?
A110 mg/dL (6.1 mmol/L) or higher
B100 mg/dL (5.6 mmol/L) or higher
C126 mg/dL (7.0 mmol/L) or higher
D200 mg/dL (11.1 mmol/L) or higher
2.Mudah
Apakah yang diukur oleh paras "puncak" (peak) sesuatu ubat?
AParas di mana ubat menjadi toksik
BParas purata sepanjang seminggu
CKepekatan darah terendah sebelum dos seterusnya
DKepekatan darah tertinggi selepas dos
3.Mudah
Apakah julat terapeutik yang lazim disebut bagi valproat serum keseluruhan (asid valproik) dalam epilepsi?
AKira-kira 0.6–1.2 mcg/mL (mg/L)
BKira-kira 5–10 mcg/mL (mg/L)
CKira-kira 500–1000 mcg/mL (mg/L)
DKira-kira 50–100 mcg/mL (mg/L)
4.Sederhana
A patient taking spironolactone asks about using a salt substitute. What should the nurse explain?
ASalt substitutes are safe because they contain only sodium chloride
BSalt substitutes protect against the potassium loss caused by this drug
CMost salt substitutes contain potassium and can raise the level too high
DSalt substitutes are fine as long as the patient drinks more water
5.Sederhana
A patient scheduled for surgery this morning has a potassium of 3.0 mEq/L on pre-operative tests. What should the nurse do?
AGive an oral potassium dose without a prescription
BReport it to the surgical team before surgery
CRepeat the test after the surgery is finished
DSend the patient to surgery without comment
6.Sederhana
A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?
AA rise in serum potassium
BA fall in blood glucose
CA rise in serum uric acid
DA fall in serum calcium
7.Sukar
Seorang pesakit tanpa masalah buah pinggang dan ECG normal mempunyai kalium 6.2 mEq/L. Makmal mengulas bahawa sampel itu mengalami hemolisis. Apakah tafsiran yang terbaik?
ARawat serta-merta dengan insulin dan glukosa tanpa pemeriksaan lanjut
BKalium pasti normal dan tidak memerlukan tindakan susulan
CKeputusan mungkin tinggi secara palsu; nilai pesakit dan sediakan sampel ulangan
DPesakit mengalami kegagalan buah pinggang
8.Sukar
A patient taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10.5 mmol/L), pH 7.15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?
ARespiratory acidosis from COPD
BHyperosmolar hyperglycemic state
CEuglycemic diabetic ketoacidosis
DSimple fasting ketosis only
Kunci jawapan
1. C · 126 mg/dL (7.0 mmol/L) or higher
2. D · Kepekatan darah tertinggi selepas dos
3. D · Kira-kira 50–100 mcg/mL (mg/L)
4. C · Most salt substitutes contain potassium and can raise the level too high
5. B · Report it to the surgical team before surgery
6. C · A rise in serum uric acid
7. C · Keputusan mungkin tinggi secara palsu; nilai pesakit dan sediakan sampel ulangan
8. C · Euglycemic diabetic ketoacidosis
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