1.やさしい
好中球減少症は、通常、絶対好中球数(ANC)が約どれくらいを下回る状態と定義されますか?
- A150 × 10³/µL(150 000/mm³)
- B15 × 10³/µL(15 000/mm³)
- C5.0 × 10³/µL(5000/mm³)
- D1.5 × 10³/µL(1500/mm³)
2.やさしい
What is a "critical value" (panic value) in laboratory reporting?
- AA result that the laboratory could not measure because of a bad sample
- BA result that is normal but differs from the patient's last value
- CAny result that is slightly outside the laboratory reference range
- DA result so abnormal that it may threaten life and needs prompt action
3.やさしい
In iron-deficiency anemia, the transferrin saturation is usually:
- ALow
- BVariable
- CHigh
- DNormal
4.ふつう
敗血症が疑われる患者の血液培養は、いつ採取すべきですか?
- A抗菌薬の最初の 3 回の投与後
- B抗菌薬は結果に影響しないので、いつでも
- C発熱が 3 日を超えて続く場合のみ
- D最初の抗菌薬の前に、投与をあまり遅らせずに
5.ふつう
A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?
- ASodium bicarbonate
- BMagnesium
- CUric acid
- DPhosphate
6.ふつう
A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?
- AA rise in serum calcium
- BA rise in serum sodium
- CA fall in serum potassium
- DA fall in blood glucose
7.むずかしい
A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?
- ASend a venous sample to the lab and inform the provider at once
- BAssume the meter is broken and give the usual insulin dose
- CRecord "HI" and repeat the meter test at the next scheduled time
- DGive oral glucose in case the reading is wrong and the patient is low
8.むずかしい
A patient with a stable INR on warfarin starts rifampin (rifampicin) for tuberculosis. Two weeks later the INR is 1.3. What is the most likely explanation?
- ARifampin speeds up warfarin metabolism
- BRifampin contains a lot of vitamin K
- CRifampin raises the INR, so it is wrong
- DTuberculosis causes the INR to fall
解答
- 1. D · 1.5 × 10³/µL(1500/mm³)
- 2. D · A result so abnormal that it may threaten life and needs prompt action
- 3. A · Low
- 4. D · 最初の抗菌薬の前に、投与をあまり遅らせずに
- 5. B · Magnesium
- 6. C · A fall in serum potassium
- 7. A · Send a venous sample to the lab and inform the provider at once
- 8. A · Rifampin speeds up warfarin metabolism
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