解答つき検査値と電解質ワークシート

甲状腺機能のスクリーニングに通常、最初に用いられる血液検査はどれですか？

1. A血清コルチゾール
2. B甲状腺刺激ホルモン（TSH）
3. Cヘモグロビン A1c（HbA1c）
4. D血清カルシウム

糖尿病の人の早期の腎障害をスクリーニングするために用いられる尿検査はどれですか？

1. A細菌の尿培養
2. B尿中アルブミン・クレアチニン比（ACR）
3. C尿比重
4. D尿妊娠検査

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

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

A patient with diabetes also takes propranolol. Why is regular glucose monitoring especially important?

1. AThe drug stops the meter from reading correctly
2. BThe drug can mask warning signs of hypoglycemia
3. CThe drug blocks the insulin injection site
4. DThe drug causes very high glucose in all patients

A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?

1. AProtamine sulfate
2. BCalcium gluconate
3. CVitamin K (phytonadione)
4. DNaloxone

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

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

The nurse teaches a patient with thrombocytopenia (platelets 25 × 10³/µL) about home safety. Which statement shows a need for further teaching?

1. A"I'll use a soft-bristled toothbrush"
2. B"I'll use an electric razor to shave"
3. C"I'll take aspirin if I get a headache"
4. D"I'll blow my nose gently, not forcefully"

A middle-aged man has fatigue, joint pain, a raised ALT and new diabetes. His ferritin is very high and his transferrin saturation is above 60%. Which condition is most likely?

1. AHereditary hemochromatosis
2. BAnemia of chronic disease
3. CAcute viral hepatitis A
4. DIron-deficiency anemia