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
Where is urea, measured as blood urea nitrogen (BUN), made?
AIn the kidneys, from the breakdown of glucose
BIn the muscles, from the breakdown of creatine
CIn the bone marrow, from old red blood cells
DIn the liver, from the breakdown of protein
2.Mudah
For many non-pregnant adults with diabetes, which HbA1c target is commonly recommended?
AAbove 9% (75 mmol/mol)
BBelow 10% (86 mmol/mol)
CBelow 4% (20 mmol/mol)
DBelow 7% (53 mmol/mol)
3.Mudah
Apakah julat rujukan dewasa yang lazim bagi kalium serum?
A135–145 mEq/L
B6.0–8.0 mEq/L
C1.3–2.1 mEq/L
D3.5–5.0 mEq/L
4.Sederhana
Dalam penyakit buah pinggang kronik, fosfat serum yang tinggi biasanya disertai dengan perubahan kalsium yang mana?
AKalsium serum yang tinggi
BTiada perubahan pada kalsium
CKalsium serum yang rendah
DKalium serum yang tinggi sahaja, tanpa perubahan kalsium
5.Sederhana
A patient with hyperkalemia received IV regular insulin with dextrose. Which result must the nurse monitor closely over the next hours?
ASerum sodium, because it rises quickly
BSerum calcium, because it falls sharply
CBlood glucose, because hypoglycemia can occur
DHemoglobin, because insulin causes red cell loss
6.Sederhana
Paras palung vankomisin berada di atas julat sasaran. Kesan advers manakah yang menjadi kebimbangan utama?
ASembelit dan kembung perut
BKiraan platelet yang meningkat (trombositosis)
CGlukosa darah rendah (hipoglisemia)
DKerosakan buah pinggang (nefrotoksisiti)
7.Sukar
Which set of results best shows that diabetic ketoacidosis is resolving?
AA falling glucose with a still widening anion gap
BA falling glucose with a falling serum bicarbonate
CA rising potassium with a falling bicarbonate
DA closing anion gap with a rising bicarbonate and pH
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?
AAcute infection, treated with broad-spectrum antibiotics
BIron deficiency, treated with IV iron supplements
CLiver failure, treated with a liver transplant at once
DIron overload, treated with iron chelation therapy
Kunci jawapan
1. D · In the liver, from the breakdown of protein
2. D · Below 7% (53 mmol/mol)
3. D · 3.5–5.0 mEq/L
4. C · Kalsium serum yang rendah
5. C · Blood glucose, because hypoglycemia can occur
6. D · Kerosakan buah pinggang (nefrotoksisiti)
7. D · A closing anion gap with a rising bicarbonate and pH
8. D · Iron overload, treated with iron chelation therapy
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