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 retained and potassium is excreted
BCalcium is retained and phosphate is excreted
CGlucose is retained and urea is excreted
DSodium is excreted and potassium is retained
2.Mudah
Which ECG change is linked to hypercalcemia?
AProminent U waves
BA prolonged QT interval
CA shortened QT interval
DTall, peaked T waves
3.Mudah
The serum total protein is made up mainly of:
ASodium and chloride
BAlbumin and globulins
CGlucose and urea
DHemoglobin and iron
4.Sederhana
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
ATroponin, creatine kinase and myoglobin
BSerum amylase, lipase and blood ketones
CSerum lithium, sodium and urine specific gravity
DComplete blood count, liver tests and kidney function
5.Sederhana
Seorang pesakit yang mengambil digoksin mempunyai paras 2.8 ng/mL dan kadar denyutan jantung 52/min. Apakah tindakan terbaik jururawat?
ATahan dos dan maklumkan pemreskripsi
BBeri dos berganda untuk membetulkan irama
CBeri dos, kerana kadar denyutan jantung melebihi 50/min
DBeri dos dan semak semula paras dalam sebulan
6.Sederhana
An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1.0 to 1.8 mg/dL (88 to 159 µmol/L). What is the most likely cause?
ANormal aging of the kidneys over a period of a few weeks
BMore activity has increased the patient's muscle mass quickly
CA laboratory error, since ibuprofen has no effect on the kidney
DThe NSAID reduces kidney blood flow on top of the other two drugs
7.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?
AA normal response to amiodarone needing no action
BAmiodarone-induced hypothyroidism
CSecondary hypothyroidism from pituitary failure
DAmiodarone-induced hyperthyroidism
8.Sukar
A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?
AIron deficiency, treated with IV iron supplements
BLiver failure, treated with a liver transplant at once
CIron overload, treated with iron chelation therapy
DAcute infection, treated with broad-spectrum antibiotics
Kunci jawapan
1. A · Sodium is retained and potassium is excreted
2. C · A shortened QT interval
3. B · Albumin and globulins
4. D · Complete blood count, liver tests and kidney function
5. A · Tahan dos dan maklumkan pemreskripsi
6. D · The NSAID reduces kidney blood flow on top of the other two drugs
7. B · Amiodarone-induced hypothyroidism
8. C · Iron overload, treated with iron chelation therapy
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