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
Seorang warga emas ditemui di lantai selepas berbaring di situ selama berjam-jam. Ujian darah manakah yang paling baik menunjukkan pemecahan otot rangka (rabdomiolisis)?
AHemoglobin A1c (HbA1c)
BKreatina kinase (CK)
CAlbumin serum
DLipase serum
2.Mudah
Apakah julat rujukan dewasa yang lazim bagi kreatinin serum?
AKira-kira 135–145 mg/dL
BKira-kira 10–20 mg/dL
CKira-kira 0.6–1.2 mg/dL
DKira-kira 3.5–5.0 mg/dL
3.Mudah
Which body system shows the main symptoms of a low serum sodium?
AThe skin and hair
BThe skeleton
CThe nervous system
DThe eyes only
4.Sederhana
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
AA low serum sodium
BA low serum magnesium
CA high serum potassium
DA high serum calcium
5.Sederhana
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
AThe urine dipstick only detects ketones in people without diabetes
BIt is the only test that can measure glucose and ketones together
CIt measures the main ketone in DKA, and the dipstick may miss it
DIt shows the average ketone level over the past three months
6.Sederhana
A stable adult who is not bleeding receives one unit of packed red cells. By about how much is the hemoglobin expected to rise?
AAbout 3 g/dL (30 g/L)
BAbout 1 g/dL (10 g/L)
CAbout 5 g/dL (50 g/L)
DAbout 0.1 g/dL (1 g/L)
7.Sukar
A patient receiving parenteral nutrition with lipid emulsion has a triglyceride level of 620 mg/dL (7.0 mmol/L). Why is this result important?
AIt is a normal fasting value for adults
BIt shows the nutrition is fully effective
CIt means the patient needs more lipid
DIt raises the risk of acute pancreatitis
8.Sukar
A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?
AIV hydration, a uric acid-lowering drug and frequent electrolytes
BFluid restriction and a high-potassium diet before the treatment
CNo special measures, because the risk starts only after a week
DCalcium supplements and a high-phosphate diet during treatment
Kunci jawapan
1. B · Kreatina kinase (CK)
2. C · Kira-kira 0.6–1.2 mg/dL
3. C · The nervous system
4. A · A low serum sodium
5. C · It measures the main ketone in DKA, and the dipstick may miss it
6. B · About 1 g/dL (10 g/L)
7. D · It raises the risk of acute pancreatitis
8. A · IV hydration, a uric acid-lowering drug and frequent electrolytes
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