[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"kakomon-q-2026-ippan-87":3},{"slug":4,"exam_year":5,"exam_round":6,"section":7,"section_code":8,"number":9,"body":10,"choices":11,"correct_indices":28,"explanation":29,"has_explanation":22,"tags":30},"2026-ippan-87",2026,4,"一般","ippan",87,"尿検査でケトン体の評価が特に重要な疾患はどれか。",[12,16,19,23,25],{"index":13,"body":14,"is_correct":15},1,"骨折",false,{"index":17,"body":18,"is_correct":15},2,"多発性骨髄腫",{"index":20,"body":21,"is_correct":22},3,"糖尿病",true,{"index":6,"body":24,"is_correct":15},"肺炎",{"index":26,"body":27,"is_correct":15},5,"肥満細胞腫",[20],"正答は3（糖尿病）。糖尿病ではインスリン不足で脂肪が分解され、ケトン体が増える（糖尿病性ケトアシドーシス）ため、尿中ケトン体の評価が特に重要。1骨折・2多発性骨髄腫・4肺炎・5肥満細胞腫は、ケトン体評価が中心となる疾患ではない。よって糖尿病。**覚え方**: 尿ケトン体が重要なのは糖尿病（ケトアシドーシスの危険を早期に把握）。",null]