1.やさしい
What is a typical adult reference range for serum chloride?
- AAbout 135–145 mEq/L
- BAbout 3.5–5.0 mEq/L
- CAbout 98–106 mEq/L
- DAbout 22–28 mEq/L
2.やさしい
Which laboratory test is used to monitor warfarin therapy?
- AaPTT
- BPT with INR
- CD-dimer
- DPlatelet count
3.やさしい
What does the specificity of a diagnostic test describe?
- AThe proportion of people with the disease who test positive
- BThe total number of people who take the test each year
- CThe cost of the test compared with other tests
- DThe proportion of people without the disease who test negative
4.ふつう
A patient with joint aches has a positive antinuclear antibody (ANA) test. Which statement is correct?
- AA positive ANA proves the patient has rheumatoid arthritis
- BA positive ANA means the patient has a viral infection
- CA positive ANA supports lupus but does not diagnose it alone
- DA positive ANA rules out all other autoimmune diseases
5.ふつう
A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?
- AComplete blood count
- BUrine ketone level
- CSerum lithium level
- DSerum amylase level
6.ふつう
下垂体の手術後、患者が 1 時間に約 400 mL の薄い尿を出し、比重が 1.002 で、ナトリウムが 149 mEq/L に上昇しました。最も考えられる病態はどれですか?
- A乏尿を伴う急性腎障害
- Bケトアシドーシスを伴う高血糖
- CSIADH
- D尿崩症
7.むずかしい
A patient with sepsis has the following new results. Which set best shows organ dysfunction?
- AHemoglobin 12.5 g/dL, sodium 138 mEq/L, glucose 105 mg/dL
- BPlatelets 70 × 10³/µL, creatinine doubled, bilirubin raised
- CWBC 11.5 × 10³/µL, potassium 4.2 mEq/L, albumin 3.8 g/dL
- DCalcium 9.4 mg/dL, phosphate 3.5 mg/dL, magnesium 1.9 mEq/L
8.むずかしい
A woman who is 34 weeks pregnant has high blood pressure, right upper abdominal pain, a platelet count of 70 × 10³/µL, raised ALT and AST, and a raised LDH. Which condition fits best?
- APhysiologic anemia of pregnancy
- BHELLP syndrome
- CGestational diabetes
- DAcute cholecystitis
解答
- 1. C · About 98–106 mEq/L
- 2. B · PT with INR
- 3. D · The proportion of people without the disease who test negative
- 4. C · A positive ANA supports lupus but does not diagnose it alone
- 5. A · Complete blood count
- 6. D · 尿崩症
- 7. B · Platelets 70 × 10³/µL, creatinine doubled, bilirubin raised
- 8. B · HELLP syndrome
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