Werkblad Laboratoriumwaarden en elektrolyten met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?

  1. AHepatocellular (liver) cancer
  2. BDuctal breast cancer
  3. CProstate adenocarcinoma
  4. DBladder urothelial cancer
2.Makkelijk

For a fasting plasma glucose test, the patient should have had no caloric intake for at least:

  1. A24 hours
  2. B3 hours
  3. C1 hour
  4. D8 hours
3.Makkelijk

What is the usual diagnostic cut-off for diabetes on a fasting plasma glucose test, when confirmed on a second test?

  1. A110 mg/dL (6,1 mmol/L) or higher
  2. B126 mg/dL (7,0 mmol/L) or higher
  3. C100 mg/dL (5,6 mmol/L) or higher
  4. D200 mg/dL (11,1 mmol/L) or higher
4.Gemiddeld

A patient on warfarin for atrial fibrillation has a target INR of 2,0–3,0. How does the usual target for a patient with a mechanical mitral valve compare?

  1. AHigher, about 2,5–3,5
  2. BLower, about 1,0–1,5
  3. CThe same, 2,0–3,0
  4. DMuch higher, about 5,0–6,0
5.Gemiddeld

A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?

  1. ALow glucose and high magnesium
  2. BHigh potassium and high bicarbonate
  3. CLow potassium and low bicarbonate
  4. DHigh sodium and high calcium
6.Gemiddeld

A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?

  1. AA transfusion of group O Rh-positive red cells
  2. BAn IV dose of vitamin K given for the fetus
  3. CAnti-D immunoglobulin (Rho(D) immune globulin)
  4. DDaily oral iron and folic acid supplements only
7.Moeilijk

A patient with sepsis has the following new results. Which set best shows organ dysfunction?

  1. APlatelets 70 × 10³/µL, creatinine doubled, bilirubin raised
  2. BHemoglobin 12,5 g/dL, sodium 138 mEq/L, glucose 105 mg/dL
  3. CWBC 11,5 × 10³/µL, potassium 4,2 mEq/L, albumin 3,8 g/dL
  4. DCalcium 9,4 mg/dL, phosphate 3,5 mg/dL, magnesium 1,9 mEq/L
8.Moeilijk

A patient with right upper abdominal pain from gallstones now has jaundice, a total bilirubin of 4,8 mg/dL (82 µmol/L) and a raised ALP. What is the most likely cause?

  1. AGilbert syndrome triggered by pain
  2. BUncomplicated gallbladder inflammation
  3. CHemolysis caused by the gallstones
  4. DA stone blocking the common bile duct

Antwoordenblad

  1. 1. A · Hepatocellular (liver) cancer
  2. 2. D · 8 hours
  3. 3. B · 126 mg/dL (7,0 mmol/L) or higher
  4. 4. A · Higher, about 2,5–3,5
  5. 5. C · Low potassium and low bicarbonate
  6. 6. C · Anti-D immunoglobulin (Rho(D) immune globulin)
  7. 7. A · Platelets 70 × 10³/µL, creatinine doubled, bilirubin raised
  8. 8. D · A stone blocking the common bile duct

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