Лабораторные показатели и электролиты: лист заданий с ответами
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1.Лёгкая
У человека, не принимающего антикоагулянт, МНО (INR) обычно составляет около:
A5,0–6,0
B0,8–1,2
C2,0–3,0
D3,5–4,5
2.Лёгкая
What does the term pancytopenia mean?
ALow red cells, white cells and platelets
BHigh red cells, white cells and platelets
CHigh white cells with low platelets
DLow red cells with normal platelets
3.Лёгкая
What is a typical adult reference range for total serum bilirubin?
AAbout 3–12 mg/dL (51–205 µmol/L)
BAbout 0,3–1,2 mg/dL (5–21 µmol/L)
CAbout 10–20 mg/dL (171–342 µmol/L)
DAbout 0,03–0,1 mg/dL (0,5–1,7 µmol/L)
4.Средняя
A patient with central diabetes insipidus starts desmopressin. Which laboratory result is most important to monitor for an adverse effect?
ASerum sodium, which may fall too low
BSerum glucose, which may rise very high
CSerum potassium, which may rise too high
DSerum calcium, which may rise too high
5.Средняя
A tired patient with heavy menstrual periods has a normal hemoglobin and MCV but a ferritin of 8 ng/mL. What does this show?
AA completely normal iron status
BIron deficiency without anemia yet
CIron overload from too much iron
DVitamin B12 deficiency anemia
6.Средняя
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
ARecord it as normal and continue the usual exchanges
BSend the fluid for cell count and culture and report it
CAdd more glucose to the next bag to clear the fluid
DStop dialysis for a week and recheck the fluid later
7.Сложная
A patient on digoxin has a calcium of 12,1 mg/dL (3,0 mmol/L) and new nausea and a slow pulse. Why is the calcium result important?
AHigh calcium only matters if the potassium is also high
BHigh calcium blocks digoxin, so the drug stops working
CHigh calcium makes the kidneys clear digoxin faster
DHigh calcium increases the risk of digoxin toxicity
8.Сложная
Which set of results best shows that diabetic ketoacidosis is resolving?
AA falling glucose with a still widening anion gap
BA rising potassium with a falling bicarbonate
CA closing anion gap with a rising bicarbonate and pH
DA falling glucose with a falling serum bicarbonate
Ответы
1. B · 0,8–1,2
2. A · Low red cells, white cells and platelets
3. B · About 0,3–1,2 mg/dL (5–21 µmol/L)
4. A · Serum sodium, which may fall too low
5. B · Iron deficiency without anemia yet
6. B · Send the fluid for cell count and culture and report it
7. D · High calcium increases the risk of digoxin toxicity
8. C · A closing anion gap with a rising bicarbonate and pH
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