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
Using American Diabetes Association (ADA) criteria, a fasting plasma glucose of 100–125 mg/dL (5.6–6.9 mmol/L) is classed as:
AType 1 diabetes mellitus
BNormal fasting glucose for an adult
CMild hypoglycemia (low glucose)
DPrediabetes (impaired fasting glucose)
2.Mudah
What does a raised erythrocyte sedimentation rate (ESR) show?
AA low level of iron stored in the bone marrow
BInflammation somewhere in the body, without showing where
CDamage to heart muscle within the past few hours
DA specific infection of the urinary tract by bacteria
3.Mudah
In a standard 2-hour oral glucose tolerance test, what does the patient do?
AReceives an insulin injection, and glucose is checked each hour
BFasts for 3 days, and glucose is checked every morning before breakfast
CDrinks a measured glucose solution, and glucose is checked 2 hours later
DEats a normal meal, and glucose is checked once later that evening
4.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
5.Sederhana
A patient with diabetes also takes propranolol. Why is regular glucose monitoring especially important?
AThe drug blocks the insulin injection site
BThe drug stops the meter from reading correctly
CThe drug causes very high glucose in all patients
DThe drug can mask warning signs of hypoglycemia
6.Sederhana
Seorang pesakit dengan aritmia ventrikel menunjukkan corak berpusing (torsades de pointes) pada monitor. Elektrolit manakah yang lazim diberikan secara IV sebagai rawatan?
AKalium fosfat
BKalsium karbonat
CMagnesium sulfat
DNatrium bikarbonat
7.Sukar
The nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
A"If I miss a dose, I will take two tablets the next day"
B"I will keep my intake of green leafy vegetables about the same"
C"I will tell my dentist and pharmacist that I take warfarin"
D"I will have my INR checked as often as I am told to"
8.Sukar
A patient using an insulin pump has a glucose of 300 mg/dL (16.7 mmol/L) that has not fallen 2 hours after a correction bolus through the pump. Blood ketones are 1.8 mmol/L. What is the most likely problem and action?
ANormal pump function; wait for the next mealtime bolus to lower the glucose
BInsulin delivery failure; inject a correction dose by pen and change the set
CRebound after a hypo; give fast-acting carbohydrate and recheck in 15 minutes
DInsulin overdose from the pump; suspend the pump and stop all insulin for a day
Kunci jawapan
1. D · Prediabetes (impaired fasting glucose)
2. B · Inflammation somewhere in the body, without showing where
3. C · Drinks a measured glucose solution, and glucose is checked 2 hours later
4. A · Gout is still possible, as urate can be normal in an attack
5. D · The drug can mask warning signs of hypoglycemia
6. C · Magnesium sulfat
7. A · "If I miss a dose, I will take two tablets the next day"
8. B · Insulin delivery failure; inject a correction dose by pen and change the set
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