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

Apakah julat terapeutik yang lazim disebut bagi digoksin serum?

  1. AKira-kira 0.5–2.0 ng/mL
  2. BKira-kira 10–20 ng/mL
  3. CKira-kira 20–40 ng/mL
  4. DKira-kira 0.05–0.2 ng/mL
2.Mudah

A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?

  1. AHepatocellular (liver) cancer
  2. BBladder urothelial cancer
  3. CProstate adenocarcinoma
  4. DDuctal breast cancer
3.Mudah

Serum amylase is less specific than lipase for pancreatitis because amylase also comes from:

  1. AThe bone marrow
  2. BThe heart muscle
  3. CThe thyroid gland
  4. DThe salivary glands
4.Sederhana

A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?

  1. ADilution of the blood by the IV fluid
  2. BIncreased red cell production
  3. CA laboratory error in the first sample
  4. DA sudden failure of the bone marrow
5.Sederhana

A patient has a hot, swollen big toe. The serum uric acid is normal. Which statement is correct?

  1. AGout is still possible, as urate can be normal in an attack
  2. BGout is certain, as a normal urate proves the diagnosis
  3. CGout can only be diagnosed with a CT scan of the foot
  4. DGout is ruled out, as uric acid is always high in an attack
6.Sederhana

A test has very high sensitivity for a disease. What does a negative result mean?

  1. AThe disease is unlikely, so it helps rule it out
  2. BThe result cannot be used, because sensitivity is high
  3. CThe disease is certain, so treatment should begin
  4. DThe patient must have a different disease instead
7.Sukar

Four results arrive at the same time. Which patient should the nurse see first?

  1. AWhite cell count 12.0 × 10³/µL on the first day after surgery
  2. BHemoglobin 10.4 g/dL (104 g/L) in a patient with stable chronic kidney disease
  3. CGlucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
  4. DINR 2.6 in a patient on warfarin for atrial fibrillation
8.Sukar

A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?

  1. ACalcium supplements and a high-phosphate diet during treatment
  2. BIV hydration, a uric acid-lowering drug and frequent electrolytes
  3. CFluid restriction and a high-potassium diet before the treatment
  4. DNo special measures, because the risk starts only after a week

Kunci jawapan

  1. 1. A · Kira-kira 0.5–2.0 ng/mL
  2. 2. A · Hepatocellular (liver) cancer
  3. 3. D · The salivary glands
  4. 4. A · Dilution of the blood by the IV fluid
  5. 5. A · Gout is still possible, as urate can be normal in an attack
  6. 6. A · The disease is unlikely, so it helps rule it out
  7. 7. C · Glucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
  8. 8. B · IV hydration, a uric acid-lowering drug and frequent electrolytes

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