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)
BAlbumin serum
CKreatina kinase (CK)
DLipase serum
2.Mudah
What does a raised erythrocyte sedimentation rate (ESR) show?
AA specific infection of the urinary tract by bacteria
BDamage to heart muscle within the past few hours
CA low level of iron stored in the bone marrow
DInflammation somewhere in the body, without showing where
3.Mudah
A low mean corpuscular volume (MCV) means that:
AThe bone marrow is making too many white cells
BThe red cells contain more hemoglobin than normal
CThe red cells are larger than normal (macrocytic)
DThe red cells are smaller than normal (microcytic)
4.Sederhana
A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?
AStrenuous exercise raised CK from skeletal muscle
BThe patient has developed acute pancreatitis
CAn acute myocardial infarction has occurred
DThe patient has developed acute hepatitis
5.Sederhana
Selepas pembedahan pituitari, seorang pesakit mengeluarkan kira-kira 400 mL air kencing pucat sejam dengan graviti tentu 1.002, dan natrium telah meningkat kepada 149 mEq/L. Keadaan manakah yang paling mungkin?
ASIADH
BKecederaan buah pinggang akut dengan oliguria
CDiabetes insipidus
DHiperglisemia dengan ketoasidosis
6.Sederhana
A patient starts high-dose prednisone. Which laboratory change should the nurse expect?
AA fall in serum sodium
BA fall in the white cell count
CA rise in blood glucose
DA rise in serum potassium
7.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
BNatrium 137 mEq/L pada pesakit yang dimasukkan dengan pneumonia semalam
CGlukosa 140 mg/dL (7.8 mmol/L) selepas makan pada pesakit diabetes
DKalium 6.6 mEq/L pada pesakit CKD yang mengalami kelemahan otot baharu
8.Sukar
Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?
AHypokalemia from gastric losses is contributing to paralytic ileus
BThe potassium is normal for the second day after surgery
CThe low potassium is due to the patient drinking too much water
DHyperkalemia from tissue damage is causing the bowel to stop
Kunci jawapan
1. C · Kreatina kinase (CK)
2. D · Inflammation somewhere in the body, without showing where
3. D · The red cells are smaller than normal (microcytic)
4. A · Strenuous exercise raised CK from skeletal muscle
5. C · Diabetes insipidus
6. C · A rise in blood glucose
7. D · Kalium 6.6 mEq/L pada pesakit CKD yang mengalami kelemahan otot baharu
8. A · Hypokalemia from gastric losses is contributing to paralytic ileus
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