Wartości laboratoryjne i elektrolity: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Using American Diabetes Association (ADA) criteria, which HbA1c range is classed as prediabetes?

  1. A6,5–7,5% (48–58 mmol/mol)
  2. B8,0–9,0% (64–75 mmol/mol)
  3. C4,0–5,6% (20–38 mmol/mol)
  4. D5,7–6,4% (39–47 mmol/mol)
2.Łatwy

In iron-deficiency anemia, the transferrin saturation is usually:

  1. AVariable
  2. BNormal
  3. CLow
  4. DHigh
3.Łatwy

Which sample is commonly used to screen a patient for MRSA carriage on admission?

  1. AA swab from the front of the nose
  2. BA sample of stool sent for culture
  3. CA clean-catch midstream urine sample
  4. DA blood culture from one arm
4.Średni

A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7,8% (62 mmol/mol). What is the best interpretation?

  1. AThe result shows today's fasting glucose is above the target
  2. BAverage glucose over the past months has been above the target
  3. CThe patient has had frequent episodes of severe hypoglycemia
  4. DGlucose control has been excellent for the past several months
5.Średni

A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?

  1. AA rise in serum sodium
  2. BA fall in serum potassium
  3. CA rise in serum calcium
  4. DA fall in blood glucose
6.Średni

Glikemia na czczo pacjenta dziś wynosi 98 mg/dL (5,4 mmol/L), ale HbA1c wynosi 8,9% (74 mmol/mol). Jaka jest najlepsza interpretacja?

  1. ADzisiejszy dobry wynik dowodzi, że cukrzyca jest dobrze kontrolowana
  2. BHbA1c odzwierciedla tylko ostatnie 24 godziny
  3. CKontrola glikemii w ostatnich 2–3 miesiącach była słaba
  4. DPacjent nie ma cukrzycy
7.Trudny

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

A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?

  1. AAn aplastic crisis, often caused by parvovirus B19
  2. BA normal finding in sickle cell disease
  3. CA vaso-occlusive pain crisis in the bones
  4. DIron deficiency from a poor diet over months

Klucz odpowiedzi

  1. 1. D · 5,7–6,4% (39–47 mmol/mol)
  2. 2. C · Low
  3. 3. A · A swab from the front of the nose
  4. 4. B · Average glucose over the past months has been above the target
  5. 5. B · A fall in serum potassium
  6. 6. C · Kontrola glikemii w ostatnich 2–3 miesiącach była słaba
  7. 7. C · A steroid effect that moves neutrophils into the circulating blood
  8. 8. A · An aplastic crisis, often caused by parvovirus B19

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