1.やさしい
Which type of white blood cell is normally the most numerous in an adult's blood?
- AEosinophils
- BLymphocytes
- CMonocytes
- DNeutrophils
2.やさしい
Which sample is commonly used to screen a patient for MRSA carriage on admission?
- AA swab from the front of the nose
- BA blood culture from one arm
- CA sample of stool sent for culture
- DA clean-catch midstream urine sample
3.やさしい
What is the main purpose of a Gram stain?
- ATo test which antibiotics a bacterium is sensitive to
- BTo measure exactly how many bacteria are in the blood
- CTo detect viruses in a sample of respiratory secretions
- DTo sort bacteria quickly into gram-positive or negative
4.ふつう
In the US, when is a pregnant woman without known risk factors usually screened for gestational diabetes?
- AAt about 38–40 weeks of pregnancy
- BAt about 6–8 weeks of pregnancy
- CAt about 24–28 weeks of pregnancy
- DOnly after the baby is born
5.ふつう
Why is a baseline platelet count taken before starting heparin therapy?
- ABecause heparin increases the platelet count to dangerous levels
- BBecause heparin is given at a dose based on the platelet count
- CSo that the INR can be calculated from the platelet count later
- DSo a later fall from heparin-induced thrombocytopenia is detected
6.ふつう
A woman with hyperemesis gravidarum has vomited for 3 days. Which urine finding would the nurse expect?
- ABilirubin
- BNitrites
- CKetones
- DRed cell casts
7.むずかしい
鉄欠乏性貧血に最も典型的な結果の組み合わせはどれですか?
- A高ヘモグロビンと高ヘマトクリット
- Bヘモグロビンの低下、小さな赤血球(低 MCV)、低フェリチン
- Cヘモグロビンは正常で、血小板数のみ高い
- Dヘモグロビンの低下、大きな赤血球(高 MCV)、高フェリチン
8.むずかしい
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
- AContamination of all three samples during collection
- BA normal finding in patients with heart murmurs
- CA urinary tract infection that has spread to the skin
- DPersistent bacteremia, as in infective endocarditis
解答
- 1. D · Neutrophils
- 2. A · A swab from the front of the nose
- 3. D · To sort bacteria quickly into gram-positive or negative
- 4. C · At about 24–28 weeks of pregnancy
- 5. D · So a later fall from heparin-induced thrombocytopenia is detected
- 6. C · Ketones
- 7. B · ヘモグロビンの低下、小さな赤血球(低 MCV)、低フェリチン
- 8. D · Persistent bacteremia, as in infective endocarditis
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