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

Why is "free T4" often measured rather than total T4?

  1. AThe free form is stored inside the pituitary
  2. BThe free form is the unbound, active hormone
  3. CThe free form is the form excreted in urine
  4. DThe free form is the only form made by the gland
2.やさしい

A laboratory reports that a blood sample is "hemolyzed." What does this mean?

  1. AThe sample has a very low hemoglobin
  2. BThe sample was taken from an artery
  3. CThe sample contains too many platelets
  4. DRed cells in the sample have broken open
3.やさしい

Which laboratory test is used to diagnose sickle cell disease?

  1. AHemoglobin electrophoresis
  2. BSerum ferritin and transferrin saturation
  3. CErythrocyte sedimentation rate
  4. DProthrombin time with INR
4.ふつう

An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1.0 to 1.8 mg/dL (88 to 159 µmol/L). What is the most likely cause?

  1. AA laboratory error, since ibuprofen has no effect on the kidney
  2. BMore activity has increased the patient's muscle mass quickly
  3. CThe NSAID reduces kidney blood flow on top of the other two drugs
  4. DNormal aging of the kidneys over a period of a few weeks
5.ふつう

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

  1. AOnly once a day, then giving the same dose before every meal
  2. BTwo hours after the meal, then giving the insulin dose
  3. CJust before the meal, giving insulin when the food is ready
  4. DAt bedtime only, then giving the mealtime insulin overnight
6.ふつう

A patient with hyponatremia from SIADH starts tolvaptan. Why is the serum sodium checked frequently in the first day?

  1. AThe sodium can rise too quickly
  2. BThe sodium always falls further
  3. CThe drug lowers blood glucose sharply
  4. DThe drug causes severe hyperkalemia
7.むずかしい

手術後、大量の低張性輸液を受けている患者に、頭痛、悪心、錯乱が現れました。これを最もよく説明する結果はどれですか？

  1. Aカリウム 4.2 mEq/L
  2. Bナトリウム 126 mEq/L
  3. Cカルシウム 9.4 mg/dL（2.35 mmol/L）
  4. D血糖 110 mg/dL（6.1 mmol/L）
8.むずかしい

A patient without diabetes in the ICU with sepsis has a glucose of 260 mg/dL (14.4 mmol/L) and an HbA1c of 5.2%. What is the best interpretation?

  1. AType 1 diabetes from autoimmune damage
  2. BStress hyperglycemia from acute illness
  3. CA meter error, because HbA1c is normal
  4. DLong-standing undiagnosed type 2 diabetes

解答

  1. 1. B · The free form is the unbound, active hormone
  2. 2. D · Red cells in the sample have broken open
  3. 3. A · Hemoglobin electrophoresis
  4. 4. C · The NSAID reduces kidney blood flow on top of the other two drugs
  5. 5. C · Just before the meal, giving insulin when the food is ready
  6. 6. A · The sodium can rise too quickly
  7. 7. B · ナトリウム 126 mEq/L
  8. 8. B · Stress hyperglycemia from acute illness

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