1.やさしい
成人の白血球数の典型的な基準範囲はどれですか?
- A約 0.5–1.0 × 10³/µL(0.5–1.0 × 10⁹/L)
- B約 25–40 × 10³/µL(25–40 × 10⁹/L)
- C約 150–400 × 10³/µL(150–400 × 10⁹/L)
- D約 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
2.やさしい
Which body system shows the main symptoms of a low serum sodium?
- AThe skin and hair
- BThe skeleton
- CThe nervous system
- DThe eyes only
3.やさしい
Which fasting triglyceride level is commonly described as normal?
- ABelow 150 mg/dL (1.7 mmol/L)
- BAbove 1,000 mg/dL (11.3 mmol/L)
- CBetween 200 and 499 mg/dL (2.3–5.6 mmol/L)
- DAbove 500 mg/dL (5.6 mmol/L)
4.ふつう
During a red cell transfusion, when are serious acute reactions most likely, so the nurse stays with the patient?
- AAfter about 2 hours
- BThe next morning
- CIn the first 15 minutes
- DAfter the last drop is given
5.ふつう
An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?
- AThe drug stops working entirely when the kidneys fail
- BThe drug causes high potassium that lowers the glucose
- CThe drug and its metabolites build up and cause long lows
- DThe drug makes the glucose meter read falsely low
6.ふつう
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?
- APlasma volume rises more than red cell mass, diluting the blood
- BThe fetus is destroying the mother's red cells in the circulation
- CIron is being lost through the kidneys during the pregnancy
- DPregnancy hormones stop the bone marrow from making red cells
7.むずかしい
A patient on stable digoxin starts amiodarone. A week later, the patient has nausea and visual changes, and the digoxin level is above the range. What is the most likely explanation?
- AThe patient has started a viral illness
- BAmiodarone has raised the digoxin level
- CAmiodarone has lowered potassium only
- DDigoxin has raised the amiodarone level
8.むずかしい
A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1.8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8.8 mmol/L). Which condition fits best?
- ANephrotic syndrome
- BPrerenal kidney injury
- CAcute pyelonephritis
- DLiver cirrhosis only
解答
- 1. D · 約 4.5–11 × 10³/µL(4.5–11 × 10⁹/L)
- 2. C · The nervous system
- 3. A · Below 150 mg/dL (1.7 mmol/L)
- 4. C · In the first 15 minutes
- 5. C · The drug and its metabolites build up and cause long lows
- 6. A · Plasma volume rises more than red cell mass, diluting the blood
- 7. B · Amiodarone has raised the digoxin level
- 8. A · Nephrotic syndrome
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