1.やさしい
急性膵炎で最も典型的に上昇する検査はどれですか?
- A血清アルブミン
- Bヘモグロビン A1c
- C血清トロポニン
- D血清リパーゼ
2.やさしい
Serum creatinine comes mainly from:
- AThe breakdown of dietary fat in the liver
- BThe digestion of protein by gut bacteria
- CThe breakdown of old red cells in the spleen
- DThe normal breakdown of creatine in muscle
3.やさしい
A positive hepatitis B surface antigen (HBsAg) test means:
- AThe person is immune from vaccination only
- BThe person has never met the virus
- CThe person currently has hepatitis B infection
- DThe person had hepatitis A in the past
4.ふつう
A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?
- AThe levothyroxine dose is too low
- BThe thyroid is now completely normal
- CThe patient has stopped the drug
- DThe levothyroxine dose is too high
5.ふつう
A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?
- AStop the infusion and give protamine sulfate as quickly as possible
- BAdjust the rate as the protocol directs and recheck as scheduled
- CContinue the same rate and recheck the aPTT in a few days
- DSwitch the infusion to oral warfarin without a prescription
6.ふつう
A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?
- AA fall in the mean cell volume (MCV)
- BA rise in the platelet count
- CA rise in the reticulocyte count
- DA fall in the white cell count
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?
- A24 時間、すべての電解質補充を止めて再検査する
- 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過剰なマグネシウムを除くために、利尿薬を投与する
- Dカリウムの用量を 2 倍にし、マグネシウムはあとにする
8.むずかしい
A patient on digoxin has a calcium of 12.1 mg/dL (3.0 mmol/L) and new nausea and a slow pulse. Why is the calcium result important?
- AHigh calcium increases the risk of digoxin toxicity
- BHigh calcium makes the kidneys clear digoxin faster
- CHigh calcium blocks digoxin, so the drug stops working
- DHigh calcium only matters if the potassium is also high
解答
- 1. D · 血清リパーゼ
- 2. D · The normal breakdown of creatine in muscle
- 3. C · The person currently has hepatitis B infection
- 4. D · The levothyroxine dose is too high
- 5. B · Adjust the rate as the protocol directs and recheck as scheduled
- 6. C · A rise in the reticulocyte 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. A · High calcium increases the risk of digoxin toxicity
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