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?
AKira-kira 0.5–2.0 ng/mL
BKira-kira 10–20 ng/mL
CKira-kira 20–40 ng/mL
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?
AHepatocellular (liver) cancer
BBladder urothelial cancer
CProstate adenocarcinoma
DDuctal breast cancer
3.Mudah
Serum amylase is less specific than lipase for pancreatitis because amylase also comes from:
AThe bone marrow
BThe heart muscle
CThe thyroid gland
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?
ADilution of the blood by the IV fluid
BIncreased red cell production
CA laboratory error in the first sample
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?
AGout is still possible, as urate can be normal in an attack
BGout is certain, as a normal urate proves the diagnosis
CGout can only be diagnosed with a CT scan of the foot
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?
AThe disease is unlikely, so it helps rule it out
BThe result cannot be used, because sensitivity is high
CThe disease is certain, so treatment should begin
DThe patient must have a different disease instead
7.Sukar
Four results arrive at the same time. Which patient should the nurse see first?
AWhite cell count 12.0 × 10³/µL on the first day after surgery
BHemoglobin 10.4 g/dL (104 g/L) in a patient with stable chronic kidney disease
CGlucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
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?
ACalcium supplements and a high-phosphate diet during treatment
BIV hydration, a uric acid-lowering drug and frequent electrolytes
CFluid restriction and a high-potassium diet before the treatment
DNo special measures, because the risk starts only after a week
Kunci jawapan
1. A · Kira-kira 0.5–2.0 ng/mL
2. A · Hepatocellular (liver) cancer
3. D · The salivary glands
4. A · Dilution of the blood by the IV fluid
5. A · Gout is still possible, as urate can be normal in an attack
6. A · The disease is unlikely, so it helps rule it out
7. C · Glucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago
8. B · IV hydration, a uric acid-lowering drug and frequent electrolytes
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