Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

What is a typical reference range for the prothrombin time (PT) in a person not taking anticoagulants?

  1. AAbout 2–4 seconds
  2. BAbout 3–5 minutes
  3. CAbout 60–90 seconds
  4. DAbout 11–13,5 seconds
2.Makkelijk

Which liver test is especially sensitive to heavy alcohol use?

  1. ASerum lipase (pancreatic enzyme)
  2. BGamma-glutamyl transferase (GGT)
  3. CCardiac troponin I or T
  4. DSerum creatinine and BUN
3.Makkelijk

Which fasting triglyceride level is commonly described as normal?

  1. ABelow 150 mg/dL (1,7 mmol/L)
  2. BAbove 1,000 mg/dL (11,3 mmol/L)
  3. CBetween 200 and 499 mg/dL (2,3–5,6 mmol/L)
  4. DAbove 500 mg/dL (5,6 mmol/L)
4.Gemiddeld

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?

  1. AThe result shows today's fasting glucose is above the target
  2. BAverage glucose over the past months has been above the target
  3. CGlucose control has been excellent for the past several months
  4. DThe patient has had frequent episodes of severe hypoglycemia
5.Gemiddeld

In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?

  1. AA sign of blocked bile ducts
  2. BA sign of new bone cancer
  3. CA sign of acute viral hepatitis
  4. DA normal rise from placental ALP
6.Gemiddeld

A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?

  1. ASodium bicarbonate
  2. BUric acid
  3. CMagnesium
  4. DPhosphate
7.Moeilijk

A stable patient's hemoglobin has been 13–14 g/dL for days. Today's result is 8,2 g/dL, but the patient feels well, the vital signs are normal and there is no bleeding. What should the nurse suspect first?

  1. AA sample taken from the wrong patient
  2. BA normal day-to-day variation in Hb
  3. CAcute bone marrow failure overnight
  4. DSudden massive internal bleeding
8.Moeilijk

A patient with heavy alcohol use and a poor diet has a hemoglobin of 10,1 g/dL (101 g/L), an MCV of 110 fL and a low red cell folate. Which explanation fits best?

  1. AAnemia caused by long-standing chronic kidney disease
  2. BThalassemia trait inherited from one of the parents
  3. CIron deficiency from slow, chronic bleeding in the gut
  4. DFolate deficiency, made worse by a direct alcohol effect

Antwoordenblad

  1. 1. D · About 11–13,5 seconds
  2. 2. B · Gamma-glutamyl transferase (GGT)
  3. 3. A · Below 150 mg/dL (1,7 mmol/L)
  4. 4. B · Average glucose over the past months has been above the target
  5. 5. D · A normal rise from placental ALP
  6. 6. C · Magnesium
  7. 7. A · A sample taken from the wrong patient
  8. 8. D · Folate deficiency, made worse by a direct alcohol effect

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