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

A low mean corpuscular hemoglobin concentration (MCHC) means that the red cells are:

  1. AMore numerous than normal
  2. BPaler than normal (hypochromic)
  3. CShaped like a sickle
  4. DLarger than normal (macrocytic)
2.やさしい

Which blood marker is the most specific for injury to the heart muscle?

  1. ASerum myoglobin
  2. BTotal creatine kinase
  3. CLactate dehydrogenase
  4. DCardiac troponin
3.やさしい

A urine dipstick is positive for leukocyte esterase. What does this show?

  1. ARed blood cells are present in the urine
  2. BProtein is leaking through the glomeruli
  3. CWhite blood cells are present in the urine
  4. DBilirubin is being passed in the urine
4.ふつう

How does the nurse start a 24-hour urine collection at 08:00?

  1. ASave the 08:00 urine as the first sample, then collect until 08:00 the next day
  2. BSave three samples spread across the day and discard all of the urine passed at night
  3. CCollect only the first urine passed on waking, and repeat this the next morning
  4. DHave the patient void and discard that urine, then save all urine until 08:00 the next day
5.ふつう

A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?

  1. AIt is given as an undiluted bolus into a large vein to avoid irritation
  2. BIt may be given as a slow IV push over one minute if the level is very low
  3. CIt is added to the IV bag without mixing, so it stays at the bottom
  4. DIt is always diluted and given by infusion pump, never as an IV push
6.ふつう

A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?

  1. AA falling serum uric acid
  2. BA rising serum calcium
  3. CA falling serum potassium
  4. DA rising white cell count
7.むずかしい

A patient's results: sodium 140 mEq/L, chloride 100 mEq/L, bicarbonate 12 mEq/L. What is the anion gap, and what does it suggest?

  1. A28 mEq/L, a high anion gap
  2. B40 mEq/L, a high anion gap
  3. C12 mEq/L, a normal anion gap
  4. D52 mEq/L, a very high anion gap
8.むずかしい

長年の肺疾患がある患者の血清重炭酸が 32 mEq/L、動脈血 PaCO₂ が常に高く、pH が 7.36 です。最もよく合う病態はどれですか？

  1. A慢性の CO₂ 貯留と代謝性代償を伴う COPD
  2. B呼吸が速くなる急性のアスピリン過量服用
  3. C重炭酸が大量に失われる急性の重度の下痢
  4. D重度の脱水と嘔吐を伴う急性の糖尿病性ケトアシドーシス

解答

  1. 1. B · Paler than normal (hypochromic)
  2. 2. D · Cardiac troponin
  3. 3. C · White blood cells are present in the urine
  4. 4. D · Have the patient void and discard that urine, then save all urine until 08:00 the next day
  5. 5. D · It is always diluted and given by infusion pump, never as an IV push
  6. 6. A · A falling serum uric acid
  7. 7. A · 28 mEq/L, a high anion gap
  8. 8. A · 慢性の CO₂ 貯留と代謝性代償を伴う COPD

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