Wartości laboratoryjne i elektrolity: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Jaka wartość HbA1c spełnia zwykły próg diagnostyczny cukrzycy?

  1. A5,5% (37 mmol/mol) lub więcej
  2. B6,5% (48 mmol/mol) lub więcej
  3. C4,5% (26 mmol/mol) lub więcej
  4. D5,0% (31 mmol/mol) lub więcej
2.Łatwy

A blood lactate level above about which value is usually considered raised in an adult?

  1. A0,2 mmol/L
  2. B2 mmol/L
  3. C20 mmol/L
  4. D10 mmol/L
3.Łatwy

A low mean corpuscular volume (MCV) means that:

  1. AThe red cells are larger than normal (macrocytic)
  2. BThe bone marrow is making too many white cells
  3. CThe red cells contain more hemoglobin than normal
  4. DThe red cells are smaller than normal (microcytic)
4.Średni

A patient had a right mastectomy with removal of axillary lymph nodes. Where is the best place to draw blood?

  1. AEither arm equally
  2. BThe right arm
  3. CThe left arm
  4. DThe right hand
5.Średni

A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?

  1. AAdd more glucose to the next bag to clear the fluid
  2. BRecord it as normal and continue the usual exchanges
  3. CSend the fluid for cell count and culture and report it
  4. DStop dialysis for a week and recheck the fluid later
6.Średni

A patient with chronic kidney disease receives an erythropoiesis-stimulating agent such as epoetin alfa. Which assessments are most important?

  1. AHemoglobin and blood pressure
  2. BLiver enzymes and bilirubin
  3. CSerum glucose and ketones
  4. DSerum amylase and lipase
7.Trudny

A patient has sudden episodes of severe headache, sweating, palpitations and very high blood pressure. Which test is most useful to look for the cause?

  1. APlasma free metanephrines
  2. BSerum TSH and free T4
  3. CFasting lipid profile
  4. DSerum calcium only
8.Trudny

A patient with ongoing hemolytic anemia has an HbA1c of 4,6%, but home glucose readings are often 180–220 mg/dL (10–12 mmol/L). What best explains the gap?

  1. AThe home glucose meter is reading falsely high
  2. BThe patient has true, well-controlled diabetes
  3. CHemolysis makes the HbA1c test read too high
  4. DShort red cell life span lowers the HbA1c falsely

Klucz odpowiedzi

  1. 1. B · 6,5% (48 mmol/mol) lub więcej
  2. 2. B · 2 mmol/L
  3. 3. D · The red cells are smaller than normal (microcytic)
  4. 4. C · The left arm
  5. 5. C · Send the fluid for cell count and culture and report it
  6. 6. A · Hemoglobin and blood pressure
  7. 7. A · Plasma free metanephrines
  8. 8. D · Short red cell life span lowers the HbA1c falsely

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