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 group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?

  1. AKidney stones, bone pain, abdominal pain and confusion
  2. BHeat intolerance, tremor, weight loss and diarrhea
  3. CJaundice, itching, pale stools and dark urine
  4. DTetany, muscle cramps, tingling and seizures
2.やさしい

Where is urea, measured as blood urea nitrogen (BUN), made?

  1. AIn the bone marrow, from old red blood cells
  2. BIn the liver, from the breakdown of protein
  3. CIn the muscles, from the breakdown of creatine
  4. DIn the kidneys, from the breakdown of glucose
3.やさしい

On a liver panel, "direct bilirubin" refers to which form of bilirubin?

  1. ABilirubin in the stool
  2. BTotal urine urobilinogen
  3. CUnconjugated bilirubin
  4. DConjugated bilirubin
4.ふつう

When should the nurse check the glucose before giving a mealtime dose of rapid-acting insulin (such as lispro)?

  1. AJust before the meal, giving insulin when the food is ready
  2. BAt bedtime only, then giving the mealtime insulin overnight
  3. COnly once a day, then giving the same dose before every meal
  4. DTwo hours after the meal, then giving the insulin dose
5.ふつう

How often is the INR usually checked when warfarin is first started?

  1. AOnce a year, at a routine visit
  2. BEvery hour, during the first week
  3. CEvery few days, until it is stable
  4. DOnly if bleeding occurs at home
6.ふつう

2 日間嘔吐が続いている患者の BUN が 32 mg/dL（尿素 11.4 mmol/L）で、クレアチニンは正常です。最も考えられる原因はどれですか？

  1. A肝不全
  2. B水分過剰
  3. C低蛋白食
  4. D脱水
7.むずかしい

A patient who had pituitary surgery has fatigue and cold intolerance. The free T4 is low and the TSH is low. What does this pattern suggest?

  1. ANormal thyroid function with a laboratory error in T4
  2. BHyperthyroidism from overactivity of the thyroid gland
  3. CPrimary hypothyroidism from failure of the thyroid gland
  4. DSecondary (central) hypothyroidism from pituitary failure
8.むずかしい

A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?

  1. AMagnesium causes potassium loss, so the kidneys release more fluid
  2. BPoor kidney function makes the magnesium level fall quickly
  3. CMagnesium is broken down by the liver, so it will stop working soon
  4. DMagnesium is excreted by the kidneys, so it can build up to toxic levels

解答

  1. 1. A · Kidney stones, bone pain, abdominal pain and confusion
  2. 2. B · In the liver, from the breakdown of protein
  3. 3. D · Conjugated bilirubin
  4. 4. A · Just before the meal, giving insulin when the food is ready
  5. 5. C · Every few days, until it is stable
  6. 6. D · 脱水
  7. 7. D · Secondary (central) hypothyroidism from pituitary failure
  8. 8. D · Magnesium is excreted by the kidneys, so it can build up to toxic levels

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