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

What is a typical adult reference range for total serum bilirubin?

  1. AAbout 0.03–0.1 mg/dL (0.5–1.7 µmol/L)
  2. BAbout 10–20 mg/dL (171–342 µmol/L)
  3. CAbout 0.3–1.2 mg/dL (5–21 µmol/L)
  4. DAbout 3–12 mg/dL (51–205 µmol/L)
2.やさしい

Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?

  1. AIt has a long half-life, so it changes over months
  2. BIt is not affected by inflammation or liver disease
  3. CIt has a short half-life, so it changes within days
  4. DIt is measured in urine, so no blood test is needed
3.やさしい

What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?

  1. AAbout 98–106 mEq/L
  2. BAbout 35–45 mEq/L
  3. CAbout 8–12 mEq/L
  4. DAbout 22–28 mEq/L
4.ふつう

A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?

  1. AA fall in serum calcium
  2. BA fall in blood glucose
  3. CA rise in serum uric acid
  4. DA rise in serum potassium
5.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 drug lowers blood glucose sharply
  3. CThe sodium always falls further
  4. DThe drug causes severe hyperkalemia
6.ふつう

A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?

  1. AUrine ketone level
  2. BSerum lithium level
  3. CSerum amylase level
  4. DComplete blood count
7.むずかしい

看護師が最初に報告すべき患者の結果はどれですか？

  1. A目標をわずかに上回る総コレステロール
  2. B2 型糖尿病の患者の HbA1c 7.4 %（57 mmol/mol）
  3. C安定した CKD が知られている患者のクレアチニン 1.6 mg/dL（141 µmol/L）
  4. D発汗して錯乱している患者の血糖 42 mg/dL（2.3 mmol/L）
8.むずかしい

A patient has fatigue, weight gain and constipation. Results: TSH 24 mIU/L, free T4 low, total cholesterol 285 mg/dL (7.4 mmol/L), sodium 131 mEq/L. What is the best interpretation?

  1. ASecondary hypothyroidism from failure of the pituitary gland
  2. BHyperthyroidism, with suppressed thyroid hormone production
  3. CPrimary hypothyroidism, which can raise lipids and lower sodium
  4. DFamilial hypercholesterolemia, unrelated to the thyroid results

解答

  1. 1. C · About 0.3–1.2 mg/dL (5–21 µmol/L)
  2. 2. C · It has a short half-life, so it changes within days
  3. 3. D · About 22–28 mEq/L
  4. 4. C · A rise in serum uric acid
  5. 5. A · The sodium can rise too quickly
  6. 6. D · Complete blood count
  7. 7. D · 発汗して錯乱している患者の血糖 42 mg/dL（2.3 mmol/L）
  8. 8. C · Primary hypothyroidism, which can raise lipids and lower sodium

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