1.やさしい
Which liver test is especially sensitive to heavy alcohol use?
- ACardiac troponin I or T
- BSerum lipase (pancreatic enzyme)
- CSerum creatinine and BUN
- DGamma-glutamyl transferase (GGT)
2.やさしい
血清カリウムが 5.9 mEq/L の状態は何と呼ばれますか?
- A高カルシウム血症
- B高カリウム血症
- C低カリウム血症
- D高ナトリウム血症
3.やさしい
A patient who has not eaten for 2 days has ketones in the urine. What is the most likely reason?
- AThe kidneys are leaking protein
- BThe body is burning fat for energy
- CThe bladder has a bacterial infection
- DThe liver is making too much glucose
4.ふつう
A patient has a calcium of 11.8 mg/dL (2.95 mmol/L) from bone metastases. Which nursing measure is appropriate?
- AEncourage bed rest and limit oral fluids
- BGive calcium carbonate antacids for nausea
- COffer extra milk and cheese at each meal
- DEncourage fluids and mobility as tolerated
5.ふつう
The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?
- AAbout 6 hours after the change
- BAbout 30 minutes after the change
- COnly after the infusion is stopped
- DAbout 3 days after the change
6.ふつう
Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?
- AFrom two separate venipuncture sites, using strict aseptic technique
- BBoth from the same site, one minute apart, to save time for the patient
- CAfter the first antibiotic dose, so the infusion is not delayed
- DFrom the existing IV line while the infusion continues to run
7.むずかしい
A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?
- AIncreased breakdown of red blood cells (hemolytic anemia)
- BGilbert syndrome, a harmless inherited bilirubin disorder
- CBlockage of bile flow, for example by a tumor in the bile duct
- DAcute viral hepatitis with widespread liver cell damage
8.むずかしい
A patient's potassium is 7.2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?
- AUrgent hemodialysis session
- BIV furosemide (a loop diuretic)
- CAn oral potassium binder dose
- DIV calcium gluconate (or chloride)
解答
- 1. D · Gamma-glutamyl transferase (GGT)
- 2. B · 高カリウム血症
- 3. B · The body is burning fat for energy
- 4. D · Encourage fluids and mobility as tolerated
- 5. A · About 6 hours after the change
- 6. A · From two separate venipuncture sites, using strict aseptic technique
- 7. C · Blockage of bile flow, for example by a tumor in the bile duct
- 8. D · IV calcium gluconate (or chloride)
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