Лабораторные показатели и электролиты: лист заданий с ответами
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Имя: ____________________ Дата: ____________
1.Лёгкая
A tuberculin skin test (TST) is read as positive. What does this mean?
AThe person definitely has active, contagious pulmonary TB
BThe person has never been exposed to TB bacteria
CThe person is fully immune and can never develop TB
DThe person has been infected with TB bacteria at some point
2.Лёгкая
Which laboratory test best reflects the body's iron stores?
ASerum albumin
BSerum sodium
CSerum ferritin
DPlatelet count
3.Лёгкая
What is the main role of platelets?
ATo break down old red cells in the spleen
BTo produce antibodies against bacteria and viruses
CTo carry oxygen and carbon dioxide in the blood
DTo form a plug at the site of vessel injury
4.Средняя
After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?
APossible recurrence that needs further assessment
BA normal change after surgery that needs no follow-up
CA sign of iron deficiency from the earlier bleeding
DA sure sign that the cancer has been fully cured
5.Средняя
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
AThe CD4 count must now be dangerously low too
BThe treatment can now be stopped without any risk
CThe treatment is suppressing the virus very well
DThe virus has been completely cured and removed
6.Средняя
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
ASerum lithium, sodium and urine specific gravity
BTroponin, creatine kinase and myoglobin
CComplete blood count, liver tests and kidney function
DSerum amylase, lipase and blood ketones
7.Сложная
A patient has macrocytic anemia with low vitamin B12 and antibodies to intrinsic factor. What does this suggest, and how is it usually treated?
AFolate deficiency, treated with folic acid only
BPernicious anemia, treated with B12 injections
CHemolytic anemia, treated with blood transfusion
DIron deficiency, treated with oral iron tablets
8.Сложная
Which patient's result should the nurse act on first?
APlatelets 140 × 10³/µL in a patient with mild chronic liver disease
BHemoglobin 6,4 g/dL (64 g/L) with new chest pain and a pulse of 124/min
CHemoglobin 9,6 g/dL (96 g/L) in a patient with stable chronic kidney disease
DFerritin 15 ng/mL in a well patient with known iron-deficiency anemia on oral iron
Ответы
1. D · The person has been infected with TB bacteria at some point
2. C · Serum ferritin
3. D · To form a plug at the site of vessel injury
4. A · Possible recurrence that needs further assessment
5. C · The treatment is suppressing the virus very well
6. C · Complete blood count, liver tests and kidney function
7. B · Pernicious anemia, treated with B12 injections
8. B · Hemoglobin 6,4 g/dL (64 g/L) with new chest pain and a pulse of 124/min
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