Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

What is a typical reference range for the hematocrit in an adult woman?

  1. AAbout 55–65%
  2. BAbout 20–28%
  3. CAbout 10–15%
  4. DAbout 35–45%
2.Makkelijk

The HbA1c reflects the average blood glucose over about which period?

  1. AThe past 1–2 years
  2. BThe past 2–3 months
  3. CThe past 24 hours
  4. DThe past 1–2 weeks
3.Makkelijk

Wat is een typisch referentiebereik voor serummagnesium bij volwassenen?

  1. AOngeveer 1,3–2,1 mEq/L (0,65–1,05 mmol/L)
  2. BOngeveer 3,5–5,0 mEq/L (1,75–2,5 mmol/L)
  3. COngeveer 6,0–8,0 mEq/L (3,0–4,0 mmol/L)
  4. DOngeveer 0,3–0,7 mEq/L (0,15–0,35 mmol/L)
4.Gemiddeld

A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?

  1. AA fall in serum calcium
  2. BA rise in serum uric acid
  3. CA rise in serum potassium
  4. DA fall in blood glucose
5.Gemiddeld

Why must vitamin B12 deficiency be ruled out before treating macrocytic anemia with folic acid alone?

  1. AFolic acid blocks the absorption of all B12 from the diet
  2. BFolic acid causes iron overload when B12 levels are low
  3. CFolic acid can fix the anemia while B12-related nerve damage continues
  4. DFolic acid makes B12 deficiency anemia much worse within a few days
6.Gemiddeld

A nurse completed the hepatitis B vaccine series. Which result shows protective immunity?

  1. AA positive IgM anti-HBc
  2. BAnti-HBs of 10 mIU/mL or more
  3. CA positive HBsAg test
  4. DA raised ALT level
7.Moeilijk

A patient on high-dose dexamethasone has a white cell count of 15 × 10³/µL, mostly mature neutrophils with no bands. They have no fever and no signs of infection. What is the most likely explanation?

  1. AA laboratory error, because steroids always lower the white count
  2. BCertain sepsis that needs antibiotics started without delay
  3. CA new leukemia that is confirmed by this result alone
  4. DA steroid effect that moves neutrophils into the circulating blood
8.Moeilijk

A patient with long-standing rheumatoid arthritis has a hemoglobin of 10,5 g/dL (105 g/L), a low serum iron, a low total iron-binding capacity (TIBC) and a high-normal ferritin. Which condition fits best?

  1. AVitamin B12 deficiency anemia
  2. BAnemia of chronic disease (inflammation)
  3. CIron-deficiency anemia
  4. DAcute blood loss anemia

Antwoordenblad

  1. 1. D · About 35–45%
  2. 2. B · The past 2–3 months
  3. 3. A · Ongeveer 1,3–2,1 mEq/L (0,65–1,05 mmol/L)
  4. 4. B · A rise in serum uric acid
  5. 5. C · Folic acid can fix the anemia while B12-related nerve damage continues
  6. 6. B · Anti-HBs of 10 mIU/mL or more
  7. 7. D · A steroid effect that moves neutrophils into the circulating blood
  8. 8. B · Anemia of chronic disease (inflammation)

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