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

How does active vitamin D (calcitriol) affect calcium?

  1. AIt moves calcium out of the blood into cells
  2. BIt increases calcium absorption from the gut
  3. CIt blocks calcium absorption from the gut
  4. DIt increases calcium loss in the urine
2.やさしい

成人の血清リン酸の典型的な基準範囲はどれですか？

  1. A約 2.5–4.5 mg/dL（0.8–1.5 mmol/L）
  2. B約 0.5–1.5 mg/dL（0.2–0.5 mmol/L）
  3. C約 5.5–7.5 mg/dL（1.8–2.4 mmol/L）
  4. D約 8.5–10.5 mg/dL（2.1–2.6 mmol/L）
3.やさしい

What is a "critical value" (panic value) in laboratory reporting?

  1. AA result that the laboratory could not measure because of a bad sample
  2. BAny result that is slightly outside the laboratory reference range
  3. CA result so abnormal that it may threaten life and needs prompt action
  4. DA result that is normal but differs from the patient's last value
4.ふつう

In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?

  1. AA sign of acute viral hepatitis
  2. BA sign of new bone cancer
  3. CA normal rise from placental ALP
  4. DA sign of blocked bile ducts
5.ふつう

A woman with hyperemesis gravidarum has vomited for 3 days. Which urine finding would the nurse expect?

  1. AKetones
  2. BBilirubin
  3. CNitrites
  4. DRed cell casts
6.ふつう

Why must a blue-top (citrate) coagulation tube be filled to the correct level?

  1. AUnderfilled tubes always give a falsely low hemoglobin and hematocrit
  2. BThe blood-to-anticoagulant ratio must be right for accurate clotting times
  3. CThe laboratory charges extra when a tube is not filled correctly
  4. DAn overfull tube is needed to measure the potassium level
7.むずかしい

激しい嘔吐のある患者のカリウムが 3.0 mEq/L、塩化物が 88 mEq/L、重炭酸が高値です。これはどのパターンを示しますか？

  1. A胃酸の喪失：低カリウムと低クロール、代謝性アルカローシス
  2. B脱水による代謝性アシドーシスを伴う高カリウム
  3. Cフォローアップが不要な正常な結果
  4. Dアニオンギャップが高い糖尿病性ケトアシドーシス
8.むずかしい

An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?

  1. AAsymptomatic bacteriuria, usually not treated with antibiotics
  2. BContamination, so the culture must be repeated every week
  3. CPyelonephritis, which needs admission and IV fluids today
  4. DA urinary tract infection that needs urgent IV antibiotics

解答

  1. 1. B · It increases calcium absorption from the gut
  2. 2. A · 約 2.5–4.5 mg/dL（0.8–1.5 mmol/L）
  3. 3. C · A result so abnormal that it may threaten life and needs prompt action
  4. 4. C · A normal rise from placental ALP
  5. 5. A · Ketones
  6. 6. B · The blood-to-anticoagulant ratio must be right for accurate clotting times
  7. 7. A · 胃酸の喪失：低カリウムと低クロール、代謝性アルカローシス
  8. 8. A · Asymptomatic bacteriuria, usually not treated with antibiotics

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