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?

  1. ASodium is retained and potassium is excreted
  2. BCalcium is retained and phosphate is excreted
  3. CGlucose is retained and urea is excreted
  4. DSodium is excreted and potassium is retained
2.Mudah

Which ECG change is linked to hypercalcemia?

  1. AProminent U waves
  2. BA prolonged QT interval
  3. CA shortened QT interval
  4. DTall, peaked T waves
3.Mudah

The serum total protein is made up mainly of:

  1. ASodium and chloride
  2. BAlbumin and globulins
  3. CGlucose and urea
  4. DHemoglobin and iron
4.Sederhana

A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?

  1. ATroponin, creatine kinase and myoglobin
  2. BSerum amylase, lipase and blood ketones
  3. CSerum lithium, sodium and urine specific gravity
  4. 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?

  1. ATahan dos dan maklumkan pemreskripsi
  2. BBeri dos berganda untuk membetulkan irama
  3. CBeri dos, kerana kadar denyutan jantung melebihi 50/min
  4. 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?

  1. ANormal aging of the kidneys over a period of a few weeks
  2. BMore activity has increased the patient's muscle mass quickly
  3. CA laboratory error, since ibuprofen has no effect on the kidney
  4. 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?

  1. AA normal response to amiodarone needing no action
  2. BAmiodarone-induced hypothyroidism
  3. CSecondary hypothyroidism from pituitary failure
  4. 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?

  1. AIron deficiency, treated with IV iron supplements
  2. BLiver failure, treated with a liver transplant at once
  3. CIron overload, treated with iron chelation therapy
  4. DAcute infection, treated with broad-spectrum antibiotics

Kunci jawapan

  1. 1. A · Sodium is retained and potassium is excreted
  2. 2. C · A shortened QT interval
  3. 3. B · Albumin and globulins
  4. 4. D · Complete blood count, liver tests and kidney function
  5. 5. A · Tahan dos dan maklumkan pemreskripsi
  6. 6. D · The NSAID reduces kidney blood flow on top of the other two drugs
  7. 7. B · Amiodarone-induced hypothyroidism
  8. 8. C · Iron overload, treated with iron chelation therapy

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