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
A raised alkaline phosphatase (ALP) is most typical of:
AInflammation of the lining of the urinary bladder
BAcute damage to the heart muscle
CBlocked bile flow or increased bone turnover
DLow production of hormone by the thyroid gland
2.Mudah
Below about which blood glucose level is hypoglycemia usually defined and treated in a person with diabetes?
A40 mg/dL (2.2 mmol/L)
B100 mg/dL (5.6 mmol/L)
C70 mg/dL (3.9 mmol/L)
D126 mg/dL (7.0 mmol/L)
3.Mudah
Bagi orang yang tidak mengambil antikoagulan, INR lazimnya kira-kira:
A2.0–3.0
B5.0–6.0
C0.8–1.2
D3.5–4.5
4.Sederhana
A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7.8% (62 mmol/mol). What is the best interpretation?
AAverage glucose over the past months has been above the target
BGlucose control has been excellent for the past several months
CThe patient has had frequent episodes of severe hypoglycemia
DThe result shows today's fasting glucose is above the target
5.Sederhana
A patient with type 1 diabetes has the flu, is eating little and has a glucose of 290 mg/dL (16.1 mmol/L). Which advice is correct?
AKeep taking insulin and check blood or urine ketones
BDrink only water and avoid all carbohydrate foods
CStop all insulin until you are eating normally again
DWait 3 days before checking the glucose again
6.Sederhana
When blood is drawn from a central venous catheter, why is a small volume of blood usually discarded first, according to policy?
ATo remove blood clots that form in all central lines
BTo check that the catheter tip is still in the right vein
CTo lower the patient's hemoglobin for a blood transfusion
DTo avoid diluting the sample with flush or infusion fluid
7.Sukar
A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?
AIncreased breakdown of red blood cells (hemolytic anemia)
BGilbert syndrome, a harmless inherited bilirubin disorder
CAcute viral hepatitis with widespread liver cell damage
DBlockage of bile flow, for example by a tumor in the bile duct
8.Sukar
Empat keputusan makmal tiba. Yang manakah patut ditangani dahulu oleh jururawat?
AHemoglobin 11.8 g/dL (118 g/L) pada pesakit penyakit buah pinggang kronik
BKalium 6.6 mEq/L pada pesakit CKD yang mengalami kelemahan otot baharu
CNatrium 137 mEq/L pada pesakit yang dimasukkan dengan pneumonia semalam
DGlukosa 140 mg/dL (7.8 mmol/L) selepas makan pada pesakit diabetes
Kunci jawapan
1. C · Blocked bile flow or increased bone turnover
2. C · 70 mg/dL (3.9 mmol/L)
3. C · 0.8–1.2
4. A · Average glucose over the past months has been above the target
5. A · Keep taking insulin and check blood or urine ketones
6. D · To avoid diluting the sample with flush or infusion fluid
7. D · Blockage of bile flow, for example by a tumor in the bile duct
8. B · Kalium 6.6 mEq/L pada pesakit CKD yang mengalami kelemahan otot baharu
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