Wartości laboratoryjne i elektrolity: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

What does the term "left shift" mean on a white cell differential?

  1. AMore immature neutrophils (bands) than normal
  2. BMore lymphocytes than neutrophils in the blood
  3. CA fall in all the white cell types together
  4. DA rise in the number of eosinophils
2.Łatwy

A patient has a hemoglobin of 19,5 g/dL (195 g/L) and a hematocrit of 58%. Which term describes this?

  1. APolycythemia (erythrocytosis)
  2. BIron-deficiency anemia
  3. CPancytopenia (all cells low)
  4. DThrombocytopenia (low platelets)
3.Łatwy

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

  1. A2 mmol/L
  2. B10 mmol/L
  3. C20 mmol/L
  4. D0,2 mmol/L
4.Średni

Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?

  1. AKidney function and thyroid function
  2. BTroponin and creatine kinase (CK)
  3. CINR and the platelet count
  4. DLiver enzymes and serum amylase
5.Średni

A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?

  1. AA serum lipase test
  2. BA baseline HIV test
  3. CA thyroid panel test
  4. DA sweat chloride test
6.Średni

A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7,3 mmol/L) on Monday and 138 mg/dL (7,7 mmol/L) on Thursday. What does this show?

  1. AThe results meet the criteria for diabetes
  2. BThe results show prediabetes only
  3. CThe results show reactive hypoglycemia
  4. DThe results are within the normal fasting range
7.Trudny

After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6,1 mEq/L and dark urine. Which prescribed treatment is the priority?

  1. AAn oral potassium supplement with each meal
  2. BLarge-volume IV fluids with cardiac monitoring
  3. CFluid restriction to protect the heart from overload
  4. DHigh-dose NSAIDs for the muscle pain
8.Trudny

A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T4 is low. What is the most likely explanation?

  1. AA normal response to amiodarone needing no action
  2. BSecondary hypothyroidism from pituitary failure
  3. CAmiodarone-induced hyperthyroidism
  4. DAmiodarone-induced hypothyroidism

Klucz odpowiedzi

  1. 1. A · More immature neutrophils (bands) than normal
  2. 2. A · Polycythemia (erythrocytosis)
  3. 3. A · 2 mmol/L
  4. 4. A · Kidney function and thyroid function
  5. 5. B · A baseline HIV test
  6. 6. A · The results meet the criteria for diabetes
  7. 7. B · Large-volume IV fluids with cardiac monitoring
  8. 8. D · Amiodarone-induced hypothyroidism

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