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

糖尿病の通常の診断基準を満たす HbA1c の値はどれですか?

  1. A4.5 %(26 mmol/mol)以上
  2. B6.5 %(48 mmol/mol)以上
  3. C5.5 %(37 mmol/mol)以上
  4. D5.0 %(31 mmol/mol)以上
2.やさしい

好中球減少症は、通常、絶対好中球数(ANC)が約どれくらいを下回る状態と定義されますか?

  1. A1.5 × 10³/µL(1500/mm³)
  2. B5.0 × 10³/µL(5000/mm³)
  3. C15 × 10³/µL(15 000/mm³)
  4. D150 × 10³/µL(150 000/mm³)
3.やさしい

In a standard 2-hour oral glucose tolerance test, what does the patient do?

  1. ADrinks a measured glucose solution, and glucose is checked 2 hours later
  2. BEats a normal meal, and glucose is checked once later that evening
  3. CFasts for 3 days, and glucose is checked every morning before breakfast
  4. DReceives an insulin injection, and glucose is checked each hour
4.ふつう

When should a blood specimen tube be labeled?

  1. ABefore entering the room, so tubes are ready for the next patients
  2. BIn the laboratory, by the staff who receive the unlabeled sample
  3. CAt the nurses' station, after all samples for the shift are drawn
  4. DAt the bedside, in the patient's presence, using two identifiers
5.ふつう

A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?

  1. AAbsolute neutrophil count
  2. BInternational normalized ratio
  3. CSerum lithium level
  4. DSerum amylase
6.ふつう

A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7.8% (62 mmol/mol). What is the best interpretation?

  1. AAverage glucose over the past months has been above the target
  2. BThe patient has had frequent episodes of severe hypoglycemia
  3. CGlucose control has been excellent for the past several months
  4. DThe result shows today's fasting glucose is above the target
7.むずかしい

ナトリウム 132 mEq/L、血糖 600 mg/dL(33.3 mmol/L)の患者が入院しました。ナトリウム値を注意して解釈するのはなぜですか?

  1. Aナトリウムの結果は、検査室の誤りに違いないため
  2. Bブドウ糖は、測定されるナトリウムに影響しないため
  3. C高血糖は測定されるナトリウムを偽って上昇させるので、実際はもっと低いため
  4. D高血糖は水を血液中に引き込み、ナトリウムを希釈するため
8.むずかしい

A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?

  1. AIron deficiency from a poor diet over months
  2. BA normal finding in sickle cell disease
  3. CAn aplastic crisis, often caused by parvovirus B19
  4. DA vaso-occlusive pain crisis in the bones

解答

  1. 1. B · 6.5 %(48 mmol/mol)以上
  2. 2. A · 1.5 × 10³/µL(1500/mm³)
  3. 3. A · Drinks a measured glucose solution, and glucose is checked 2 hours later
  4. 4. D · At the bedside, in the patient's presence, using two identifiers
  5. 5. A · Absolute neutrophil count
  6. 6. A · Average glucose over the past months has been above the target
  7. 7. D · 高血糖は水を血液中に引き込み、ナトリウムを希釈するため
  8. 8. C · An aplastic crisis, often caused by parvovirus B19

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