解答つき検査値と電解質ワークシート

Which form of bilirubin rises mainly when red cells are broken down faster than normal?

1. AUrine bilirubin
2. BUnconjugated (indirect)
3. CStool bilirubin
4. DConjugated (direct)

Which laboratory test is used to monitor warfarin therapy?

1. AD-dimer
2. BaPTT
3. CPT with INR
4. DPlatelet count

In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:

1. AHigh
2. BNormal
3. CAbsent
4. DLow

When is a peak level for an IV aminoglycoside such as gentamicin usually drawn?

1. AAt any time convenient for the patient
2. BJust before the next dose is started
3. CExactly 24 hours after the first dose
4. DAbout 30 minutes after the infusion ends

A patient had a total gastrectomy. Which long-term therapy is needed to prevent anemia?

1. ALifelong oral folic acid tablets only
2. BLifelong vitamin B₁₂ replacement
3. CWeekly doses of oral vitamin K tablets
4. DMonthly transfusions of red blood cells

A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?

1. AHigh TSH with a normal free T₄
2. BHigh TSH with a low free T₄
3. CNormal TSH with a low free T₄
4. DLow TSH with a high free T₄

糖尿病性ケトアシドーシスの患者がインスリンの静脈内持続投与を受けています。特に綿密なモニタリングが必要な検査値はどれですか？

1. Aインスリンが肝臓にアルブミンの産生を止めさせるため、アルブミン
2. Bインスリンが腎臓から大量のナトリウムを排泄させるため、ナトリウム
3. Cインスリンが赤血球を破壊するため、ヘモグロビン
4. Dインスリンがカリウムを細胞内に移動させ、急速に低下しうるため、カリウム

A patient's potassium is 7.2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?

1. AAn oral potassium binder dose
2. BUrgent hemodialysis session
3. CIV calcium gluconate (or chloride)
4. DIV furosemide (a loop diuretic)