1.やさしい
A urine dipstick is positive for nitrites. What does this most likely show?
- AGlucose spilling into the urine from high blood levels
- BBacteria in the urine that convert nitrate to nitrite
- CRed blood cells leaking from the glomeruli
- DKetones produced from fat breakdown in fasting
2.やさしい
What is the usual diagnostic cut-off for diabetes on a fasting plasma glucose test, when confirmed on a second test?
- A110 mg/dL (6.1 mmol/L) or higher
- B200 mg/dL (11.1 mmol/L) or higher
- C100 mg/dL (5.6 mmol/L) or higher
- D126 mg/dL (7.0 mmol/L) or higher
3.やさしい
What does the term "leukopenia" mean?
- AA high white blood cell count
- BA high platelet count
- CA low red blood cell count
- DA low white blood cell count
4.ふつう
静脈内グルコン酸カルシウムは、重度の高カリウム血症の患者にどのように役立ちますか?
- A腸内でカリウムに結合し、便として排出させる
- B腎臓からのカリウムの排泄を増やす
- Cカリウムを血液から細胞内に移動させる
- Dカリウムを下げずに、心筋細胞の膜を安定させる
5.ふつう
患者の血小板数が 18 × 10³/µL です。適切な看護はどれですか?
- A柔らかい歯ブラシ、電気カミソリ、筋肉内注射をしない
- B頭痛のときに、処方されたアスピリンを投与する
- C正確さのために、4 時間ごとに直腸で体温を測定する
- D1 日 2 回のデンタルフロスと、鋭利なカミソリの刃での髭剃りを勧める
6.ふつう
A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?
- AHbA1c and lipid panel
- BSerum sodium and chloride
- CPlatelet count and PT/INR
- DTSH and free T4
7.むずかしい
A young adult has fatigue, bruising and fever. The white cell count is 85 × 10³/µL with many blasts, the hemoglobin is 7.9 g/dL (79 g/L) and the platelets are 22 × 10³/µL. What is the most likely diagnosis?
- APolycythemia vera
- BAcute viral infection
- CIron-deficiency anemia
- DAcute leukemia
8.むずかしい
A patient on a stable dose of levothyroxine now has a TSH of 9.8 mIU/L. She recently started taking her calcium and iron supplements with her morning levothyroxine. What is the most likely explanation?
- AThe supplements are reducing levothyroxine absorption
- BThe supplements are causing an overactive thyroid gland
- CThe TSH is low, showing that the dose is now too high
- DThe result is normal for a person on levothyroxine therapy
解答
- 1. B · Bacteria in the urine that convert nitrate to nitrite
- 2. D · 126 mg/dL (7.0 mmol/L) or higher
- 3. D · A low white blood cell count
- 4. D · カリウムを下げずに、心筋細胞の膜を安定させる
- 5. A · 柔らかい歯ブラシ、電気カミソリ、筋肉内注射をしない
- 6. C · Platelet count and PT/INR
- 7. D · Acute leukemia
- 8. A · The supplements are reducing levothyroxine absorption
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