1.やさしい
What is a typical adult reference range for total serum bilirubin?
- AAbout 10–20 mg/dL (171–342 µmol/L)
- BAbout 0.03–0.1 mg/dL (0.5–1.7 µmol/L)
- CAbout 0.3–1.2 mg/dL (5–21 µmol/L)
- DAbout 3–12 mg/dL (51–205 µmol/L)
2.やさしい
Which antibody test is most specific for rheumatoid arthritis?
- AAnti-CCP antibodies
- BAnti-D antibody
- CAntinuclear antibody
- DAnti-HBs antibody
3.やさしい
Which hormone is measured in blood or urine to test for pregnancy?
- AHuman chorionic gonadotropin (hCG)
- BAntidiuretic hormone (ADH)
- CFollicle-stimulating hormone (FSH)
- DThyroid-stimulating hormone (TSH)
4.ふつう
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
- AThe pancreas is making very little insulin, as in type 1 diabetes
- BThe patient has high insulin resistance, as in type 2 diabetes
- CThe patient is injecting too much insulin and needs a lower dose
- DThe kidneys are excreting all of the patient's insulin in urine
5.ふつう
Which instruction is correct for a patient taking an oral potassium chloride supplement?
- ATake it with food and a full glass of water, and do not crush extended-release tablets
- BUse a salt substitute as well, so less of the tablet is needed each day
- CCrush the extended-release tablets and mix them with a little water if needed
- DTake it on an empty stomach with only a small sip of water to speed absorption
6.ふつう
In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?
- AA sign of acute viral hepatitis
- BA sign of blocked bile ducts
- CA sign of new bone cancer
- DA normal rise from placental ALP
7.むずかしい
Four drug levels are reported. Which patient should the nurse assess first?
- APhenytoin 15 mcg/mL with no symptoms
- BDigoxin 1.0 ng/mL with a pulse of 72/min
- CLithium 1.8 mEq/L with a new coarse tremor
- DValproate 75 mcg/mL with no symptoms
8.むずかしい
A patient in DKA is receiving IV fluids and insulin. The glucose has fallen to about 220 mg/dL (12.2 mmol/L), but the anion gap is still high. What change would the nurse expect?
- AAdd dextrose to the IV fluids and continue the insulin
- BStop the insulin infusion because the glucose is near normal
- CStop the IV fluids and start oral fluids only
- DGive an IV bolus of sodium bicarbonate at once
解答
- 1. C · About 0.3–1.2 mg/dL (5–21 µmol/L)
- 2. A · Anti-CCP antibodies
- 3. A · Human chorionic gonadotropin (hCG)
- 4. A · The pancreas is making very little insulin, as in type 1 diabetes
- 5. A · Take it with food and a full glass of water, and do not crush extended-release tablets
- 6. D · A normal rise from placental ALP
- 7. C · Lithium 1.8 mEq/L with a new coarse tremor
- 8. A · Add dextrose to the IV fluids and continue the insulin
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