1.やさしい
What is a typical reference range for the hematocrit in an adult woman?
- AAbout 20–28%
- BAbout 35–45%
- CAbout 55–65%
- DAbout 10–15%
2.やさしい
成人の血清リン酸の典型的な基準範囲はどれですか?
- A約 0.5–1.5 mg/dL(0.2–0.5 mmol/L)
- B約 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- C約 5.5–7.5 mg/dL(1.8–2.4 mmol/L)
- D約 8.5–10.5 mg/dL(2.1–2.6 mmol/L)
3.やさしい
Serum creatinine comes mainly from:
- AThe normal breakdown of creatine in muscle
- BThe digestion of protein by gut bacteria
- CThe breakdown of old red cells in the spleen
- DThe breakdown of dietary fat in the liver
4.ふつう
慢性腎臓病の患者に、貧血が多いのはなぜですか?
- A尿毒症性の毒素により、骨髄が赤血球ではなく白血球を作るようになるため
- B腎疾患での高カリウムが、赤血球を壊すため
- C腎臓が、赤血球の産生を促すエリスロポエチンをあまり作らなくなるため
- D傷んだ腎臓が、赤血球を濾過して破壊するため
5.ふつう
A nurse completed the hepatitis B vaccine series. Which result shows protective immunity?
- AA positive IgM anti-HBc
- BAnti-HBs of 10 mIU/mL or more
- CA positive HBsAg test
- DA raised ALT level
6.ふつう
A patient takes valproate (valproic acid) for epilepsy. Which tests are monitored regularly?
- ALiver function tests and platelet count
- BThyroid function and serum calcium
- CTroponin and B-type natriuretic peptide
- DSerum lithium and urine specific gravity
7.むずかしい
A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?
- APoor kidney function makes the magnesium level fall quickly
- BMagnesium causes potassium loss, so the kidneys release more fluid
- CMagnesium is excreted by the kidneys, so it can build up to toxic levels
- DMagnesium is broken down by the liver, so it will stop working soon
8.むずかしい
A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?
- AMalignant ascites from cancer
- BBleeding into the abdominal cavity
- CSpontaneous bacterial peritonitis
- DNormal ascitic fluid in cirrhosis
解答
- 1. B · About 35–45%
- 2. B · 約 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- 3. A · The normal breakdown of creatine in muscle
- 4. C · 腎臓が、赤血球の産生を促すエリスロポエチンをあまり作らなくなるため
- 5. B · Anti-HBs of 10 mIU/mL or more
- 6. A · Liver function tests and platelet count
- 7. C · Magnesium is excreted by the kidneys, so it can build up to toxic levels
- 8. C · Spontaneous bacterial peritonitis
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