解答つき検査値と電解質ワークシート

無料で印刷できる検査値と電解質のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

Which liver test is especially sensitive to heavy alcohol use?

  1. ASerum creatinine and BUN
  2. BGamma-glutamyl transferase (GGT)
  3. CCardiac troponin I or T
  4. DSerum lipase (pancreatic enzyme)
2.やさしい

What is a typical reference range for the prothrombin time (PT) in a person not taking anticoagulants?

  1. AAbout 60–90 seconds
  2. BAbout 11–13.5 seconds
  3. CAbout 3–5 minutes
  4. DAbout 2–4 seconds
3.やさしい

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

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

A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?

  1. AGive one sample after brushing with mouthwash so it is clean
  2. BGive several samples of nasal mucus blown into a tissue
  3. CGive one sample of saliva collected from the mouth at any time of day
  4. DGive several deep-cough samples, often first thing in the morning
5.ふつう

患者の左前腕に輸液が入っています。看護師はどこから採血すべきですか？

  1. A同じ腕の、点滴の刺入部のすぐ上から
  2. B反対側の腕から
  3. C輸液が流れている間に、点滴の留置針から
  4. D輸液は結果に影響しないので、どの静脈からでも
6.ふつう

A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?

  1. AA rise in the platelet count
  2. BA rise in the reticulocyte count
  3. CA fall in the white cell count
  4. DA fall in the mean cell volume (MCV)
7.むずかしい

増殖の速いリンパ腫への化学療法のあとで、腫瘍崩壊症候群を示唆する結果のパターンはどれですか？

  1. A高カリウム、高リン酸、高尿酸、低カルシウム
  2. B低カリウム、低リン酸、低尿酸、カルシウムの上昇
  3. C高ナトリウムと低血糖のみ
  4. D電解質は正常で、ヘモグロビンが高い
8.むずかしい

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

解答

  1. 1. B · Gamma-glutamyl transferase (GGT)
  2. 2. B · About 11–13.5 seconds
  3. 3. B · More immature neutrophils (bands) than normal
  4. 4. D · Give several deep-cough samples, often first thing in the morning
  5. 5. B · 反対側の腕から
  6. 6. B · A rise in the reticulocyte count
  7. 7. A · 高カリウム、高リン酸、高尿酸、低カルシウム
  8. 8. C · A steroid effect that moves neutrophils into the circulating blood

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