1.やさしい
A patient on warfarin asks what an INR of 2.0 means. Which explanation is best?
- AYour blood clots about twice as fast as is normal
- BYour blood takes about twice as long as normal to clot
- CYour warfarin dose is twice what it should be
- DYou have twice the normal number of platelets
2.やさしい
What does the red cell distribution width (RDW) describe?
- AHow many red cells are young cells
- BHow fast the red cells settle in a tube
- CHow long red cells survive in the blood
- DHow much the red cells vary in size
3.やさしい
Which ECG change is linked to hypercalcemia?
- AProminent U waves
- BA shortened QT interval
- CTall, peaked T waves
- DA prolonged QT interval
4.ふつう
How does the nurse start a 24-hour urine collection at 08:00?
- AHave the patient void and discard that urine, then save all urine until 08:00 the next day
- BSave the 08:00 urine as the first sample, then collect until 08:00 the next day
- CCollect only the first urine passed on waking, and repeat this the next morning
- DSave three samples spread across the day and discard all of the urine passed at night
5.ふつう
When should a blood specimen tube be labeled?
- AAt the nurses' station, after all samples for the shift are drawn
- BIn the laboratory, by the staff who receive the unlabeled sample
- CAt the bedside, in the patient's presence, using two identifiers
- DBefore entering the room, so tubes are ready for the next patients
6.ふつう
A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?
- ASerum lithium level
- BComplete blood count
- CSerum amylase level
- DUrine ketone level
7.むずかしい
アルコール使用障害の患者が、2 日間の補充にもかかわらず、カリウムが 3.0 mEq/L です。マグネシウムは 0.9 mEq/L です。次に行う最も適切な対応はどれですか?
- A過剰なマグネシウムを除くために、利尿薬を投与する
- Bマグネシウムを補充する。低マグネシウムは、腎臓からカリウムが失われ続ける原因になる
- Cカリウムの用量を 2 倍にし、マグネシウムはあとにする
- D24 時間、すべての電解質補充を止めて再検査する
8.むずかしい
After a crush injury, a patient's urine dipstick is strongly positive for blood, but microscopy shows almost no red cells. CK is very high. What best explains this?
- AA kidney stone is scraping the ureter lining
- BThe sample was contaminated with menstrual blood
- CBleeding is coming from the bladder lining
- DMyoglobin from damaged muscle is in the urine
解答
- 1. B · Your blood takes about twice as long as normal to clot
- 2. D · How much the red cells vary in size
- 3. B · A shortened QT interval
- 4. A · Have the patient void and discard that urine, then save all urine until 08:00 the next day
- 5. C · At the bedside, in the patient's presence, using two identifiers
- 6. B · Complete blood count
- 7. B · マグネシウムを補充する。低マグネシウムは、腎臓からカリウムが失われ続ける原因になる
- 8. D · Myoglobin from damaged muscle is in the urine
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