1.やさしい
What does a raised erythrocyte sedimentation rate (ESR) show?
- AInflammation somewhere in the body, without showing where
- BA low level of iron stored in the bone marrow
- CA specific infection of the urinary tract by bacteria
- DDamage to heart muscle within the past few hours
2.やさしい
What is a typical reference range for the prothrombin time (PT) in a person not taking anticoagulants?
- AAbout 2–4 seconds
- BAbout 3–5 minutes
- CAbout 11–13.5 seconds
- DAbout 60–90 seconds
3.やさしい
Which form of bilirubin rises mainly when red cells are broken down faster than normal?
- AUrine bilirubin
- BStool bilirubin
- CUnconjugated (indirect)
- DConjugated (direct)
4.ふつう
How does normal pregnancy usually affect serum creatinine?
- AIt rises, because GFR falls
- BIt falls, because GFR rises
- CIt rises with every week
- DIt stays exactly the same
5.ふつう
慢性腎臓病で、血清リン酸の高値には、通常、カルシウムのどのような変化を伴いますか?
- Aカルシウムの変化はなく、血清カリウムだけが高い
- Bカルシウムは変化しない
- C血清カルシウムの上昇
- D血清カルシウムの低下
6.ふつう
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
- AIron (low ferritin)
- BVitamin B12
- CVitamin C (ascorbic acid)
- DFolate (folic acid)
7.むずかしい
The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?
- A"I must not eat anything for 12 hours before the HbA1c test"
- B"The test shows my average glucose over the past few months"
- C"My daily finger-stick readings still matter between the tests"
- D"A lower result means less risk of damage to my eyes and kidneys"
8.むずかしい
A patient has a continuous heparin infusion for a pulmonary embolism. A new nurse plans to adjust the infusion using today's INR of 1.1. What should the experienced nurse explain?
- AHeparin is adjusted using the aPTT or anti-Xa level, not the INR
- BHeparin needs no laboratory monitoring once the infusion is started
- CThe INR is the correct test, and 1.1 means heparin is therapeutic
- DThe INR of 1.1 means the heparin rate must be doubled at once
解答
- 1. A · Inflammation somewhere in the body, without showing where
- 2. C · About 11–13.5 seconds
- 3. C · Unconjugated (indirect)
- 4. B · It falls, because GFR rises
- 5. D · 血清カルシウムの低下
- 6. B · Vitamin B12
- 7. A · "I must not eat anything for 12 hours before the HbA1c test"
- 8. A · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
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