解答つき検査値と電解質ワークシート

急性膵炎で最も典型的に上昇する検査はどれですか？

1. Aヘモグロビン A1c
2. B血清トロポニン
3. C血清リパーゼ
4. D血清アルブミン

A blood lactate level above about which value is usually considered raised in an adult?

1. A2 mmol/L
2. B10 mmol/L
3. C0.2 mmol/L
4. D20 mmol/L

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

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

A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?

1. AA sweat chloride test
2. BA baseline HIV test
3. CA thyroid panel test
4. DA serum lipase test

For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?

1. AAbout 140–180 mg/dL (7.8–10 mmol/L)
2. BAbout 60–80 mg/dL (3.3–4.4 mmol/L)
3. CAbout 250–300 mg/dL (13.9–16.7 mmol/L)
4. DAbout 300–350 mg/dL (16.7–19.4 mmol/L)

患者の白血球数が 16 × 10³/µL で、未熟な好中球（桿状核球）の割合が高いです。これは何を最も強く示唆しますか？

1. A正常な結果
2. B急性の細菌感染症
3. C慢性のウイルス性疾患のみ
4. D鉄欠乏性貧血

患者のクレアチニン上昇が、長年の慢性腎臓病ではなく急性腎障害によることを最も強く示唆する所見はどれですか？

1. A超音波検査で、腎臓が小さい
2. B患者は、長年の貧血がある
3. Cクレアチニンは 3 日前には正常で、その後 2 倍になった
4. D患者は、何年もクレアチニンが高い

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?

1. AHigh calcium blocks digoxin, so the drug stops working
2. BHigh calcium only matters if the potassium is also high
3. CHigh calcium increases the risk of digoxin toxicity
4. DHigh calcium makes the kidneys clear digoxin faster