Werkblad Laboratoriumwaarden en elektrolyten met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Using American Diabetes Association (ADA) criteria, which HbA1c range is classed as prediabetes?
A4,0–5,6% (20–38 mmol/mol)
B8,0–9,0% (64–75 mmol/mol)
C6,5–7,5% (48–58 mmol/mol)
D5,7–6,4% (39–47 mmol/mol)
2.Makkelijk
The tumor marker CA-125 is most often used to follow which cancer?
AOvarian cancer
BLung cancer
CColon cancer
DThyroid cancer
3.Makkelijk
A patient who has not eaten for 2 days has ketones in the urine. What is the most likely reason?
AThe kidneys are leaking protein
BThe body is burning fat for energy
CThe liver is making too much glucose
DThe bladder has a bacterial infection
4.Gemiddeld
When blood is drawn from a central venous catheter, why is a small volume of blood usually discarded first, according to policy?
ATo check that the catheter tip is still in the right vein
BTo remove blood clots that form in all central lines
CTo avoid diluting the sample with flush or infusion fluid
DTo lower the patient's hemoglobin for a blood transfusion
5.Gemiddeld
A tired patient with heavy menstrual periods has a normal hemoglobin and MCV but a ferritin of 8 ng/mL. What does this show?
AIron overload from too much iron
BVitamin B12 deficiency anemia
CIron deficiency without anemia yet
DA completely normal iron status
6.Gemiddeld
How does the nurse start a 24-hour urine collection at 08:00?
AHave the patient void and discard that urine, then save all urine until 08:00 the next day
BSave three samples spread across the day and discard all of the urine passed at night
CCollect only the first urine passed on waking, and repeat this the next morning
DSave the 08:00 urine as the first sample, then collect until 08:00 the next day
7.Moeilijk
A woman who is 34 weeks pregnant has high blood pressure, right upper abdominal pain, a platelet count of 70 × 10³/µL, raised ALT and AST, and a raised LDH. Which condition fits best?
APhysiologic anemia of pregnancy
BGestational diabetes
CAcute cholecystitis
DHELLP syndrome
8.Moeilijk
A patient admitted with heavy alcohol use and malnutrition has a glucose of 52 mg/dL (2,9 mmol/L) and low magnesium. Which prescribed treatment should be given before the IV glucose?
AIV potassium
BIV insulin
COral iron
DIV thiamine
Antwoordenblad
1. D · 5,7–6,4% (39–47 mmol/mol)
2. A · Ovarian cancer
3. B · The body is burning fat for energy
4. C · To avoid diluting the sample with flush or infusion fluid
5. C · Iron deficiency without anemia yet
6. A · Have the patient void and discard that urine, then save all urine until 08:00 the next day
7. D · HELLP syndrome
8. D · IV thiamine
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