1.やさしい
成人の血中尿素窒素(BUN)の典型的な基準範囲はどれですか?
- A約 7–20 mg/dL(尿素 2.5–7.1 mmol/L)
- B約 0.6–1.2 mg/dL(尿素 0.2–0.4 mmol/L)
- C約 135–145 mg/dL(尿素 48–52 mmol/L)
- D約 70–99 mg/dL(尿素 25–35 mmol/L)
2.やさしい
What is the usual diagnostic cut-off for diabetes on a fasting plasma glucose test, when confirmed on a second test?
- A110 mg/dL (6.1 mmol/L) or higher
- B200 mg/dL (11.1 mmol/L) or higher
- C126 mg/dL (7.0 mmol/L) or higher
- D100 mg/dL (5.6 mmol/L) or higher
3.やさしい
Below about which blood glucose level is hypoglycemia usually defined and treated in a person with diabetes?
- A40 mg/dL (2.2 mmol/L)
- B126 mg/dL (7.0 mmol/L)
- C70 mg/dL (3.9 mmol/L)
- D100 mg/dL (5.6 mmol/L)
4.ふつう
A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?
- AAbsolute neutrophil count
- BSerum amylase
- CSerum lithium level
- DInternational normalized ratio
5.ふつう
How should a blood sample for serum ammonia be handled?
- ALeft at room temperature for several hours first
- BKept warm and sent with the next routine batch
- CPlaced on ice and sent to the laboratory at once
- DShaken firmly to mix it before it is sent away
6.ふつう
Which change in clotting tests is normal in late pregnancy?
- APlatelets rise above 600 × 10³/µL
- BINR rises to about 3.0
- CaPTT doubles from baseline
- DFibrinogen and D-dimer rise
7.むずかしい
A patient with a round face, central weight gain and purple stretch marks has a glucose of 210 mg/dL (11.7 mmol/L) and a potassium of 3.1 mEq/L. Which condition fits best?
- ADiabetes insipidus
- BHypothyroidism
- CCushing syndrome
- DAdrenal insufficiency
8.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?
- A2 型糖尿病の患者の HbA1c 7.4 %(57 mmol/mol)
- B目標をわずかに上回る総コレステロール
- C発汗して錯乱している患者の血糖 42 mg/dL(2.3 mmol/L)
- D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)
解答
- 1. A · 約 7–20 mg/dL(尿素 2.5–7.1 mmol/L)
- 2. C · 126 mg/dL (7.0 mmol/L) or higher
- 3. C · 70 mg/dL (3.9 mmol/L)
- 4. A · Absolute neutrophil count
- 5. C · Placed on ice and sent to the laboratory at once
- 6. D · Fibrinogen and D-dimer rise
- 7. C · Cushing syndrome
- 8. C · 発汗して錯乱している患者の血糖 42 mg/dL(2.3 mmol/L)
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