解答つき検査値と電解質ワークシート

A blood lactate level above about which value is usually considered raised in an adult?

1. A2 mmol/L
2. B20 mmol/L
3. C0.2 mmol/L
4. D10 mmol/L

Which blood group's plasma can be given to patients of any ABO group (universal plasma donor)?

1. AGroup A
2. BGroup O
3. CGroup B
4. DGroup AB

Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?

1. ATetany, muscle cramps, tingling and seizures
2. BHeat intolerance, tremor, weight loss and diarrhea
3. CKidney stones, bone pain, abdominal pain and confusion
4. DJaundice, itching, pale stools and dark urine

フロセミドを服用している患者のカリウムが 2.9 mEq/L です。看護師が予想する所見はどれですか？

1. A口の周りのピリピリ感と、陽性のクボステック徴候
2. B腸の活動亢進による下痢と腹部のけいれん痛
3. C心電図での尖って高い T 波
4. D筋力低下と下肢のこむら返り

After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?

1. AA sure sign that the cancer has been fully cured
2. BA normal change after surgery that needs no follow-up
3. CPossible recurrence that needs further assessment
4. DA sign of iron deficiency from the earlier bleeding

A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?

1. APlasma volume rises more than red cell mass, diluting the blood
2. BIron is being lost through the kidneys during the pregnancy
3. CThe fetus is destroying the mother's red cells in the circulation
4. DPregnancy hormones stop the bone marrow from making red cells

患者のクレアチニン上昇が、長年の慢性腎臓病ではなく急性腎障害によることを最も強く示唆する所見はどれですか？

1. A超音波検査で、腎臓が小さい
2. B患者は、長年の貧血がある
3. Cクレアチニンは 3 日前には正常で、その後 2 倍になった
4. D患者は、何年もクレアチニンが高い

A patient with acute kidney injury has a potassium of 6.8 mEq/L despite medical treatment, a pH of 7.12 and pulmonary edema not responding to diuretics. Which treatment is most likely needed?

1. AA potassium supplement
2. BMore oral fluid
3. CAn IV magnesium dose
4. DUrgent dialysis