1.やさしい
What does normal cerebrospinal fluid (CSF) look like?
- APink and bloody
- BCloudy and yellow
- CThick and green
- DClear and colorless
2.やさしい
What does a "culture and sensitivity" test of a sample show?
- AWhether the patient is allergic to an antibiotic
- BWhich organism grows and which antibiotics work on it
- CThe amount of antibiotic in the patient's blood
- DHow many white cells are present in the sample
3.やさしい
What does the reticulocyte count measure?
- APlatelets that are larger than normal in size
- BImmature white blood cells released during infection
- CYoung red blood cells recently released from the bone marrow
- DOld red blood cells that are being removed by the spleen
4.ふつう
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
- AA pulmonary embolism is now certain to be present
- BA DVT is unlikely and can usually be ruled out
- CA DVT is confirmed and anticoagulation is needed
- DThe test is useless and should always be ignored
5.ふつう
A patient with central diabetes insipidus starts desmopressin. Which laboratory result is most important to monitor for an adverse effect?
- ASerum calcium, which may rise too high
- BSerum potassium, which may rise too high
- CSerum glucose, which may rise very high
- DSerum sodium, which may fall too low
6.ふつう
A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38.3 °C (100.9 °F). What should the nurse do first?
- AEncourage oral fluids and record the fever in the chart
- BGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
- CRemove extra blankets and offer a tepid sponge bath
- DReport it at once so cultures and antibiotics start quickly
7.むずかしい
The nurse teaches a patient starting lithium. Which statement shows a need for further teaching?
- A"I will tell my doctor if I have vomiting or diarrhea"
- B"I will drink plenty of fluids, especially in hot weather"
- C"I will check with the pharmacist before taking ibuprofen"
- D"I will cut out salt from my diet completely to stay healthy"
8.むずかしい
A patient with heavy alcohol use and a poor diet has a hemoglobin of 10.1 g/dL (101 g/L), an MCV of 110 fL and a low red cell folate. Which explanation fits best?
- AAnemia caused by long-standing chronic kidney disease
- BIron deficiency from slow, chronic bleeding in the gut
- CThalassemia trait inherited from one of the parents
- DFolate deficiency, made worse by a direct alcohol effect
解答
- 1. D · Clear and colorless
- 2. B · Which organism grows and which antibiotics work on it
- 3. C · Young red blood cells recently released from the bone marrow
- 4. B · A DVT is unlikely and can usually be ruled out
- 5. D · Serum sodium, which may fall too low
- 6. D · Report it at once so cultures and antibiotics start quickly
- 7. D · "I will cut out salt from my diet completely to stay healthy"
- 8. D · Folate deficiency, made worse by a direct alcohol effect
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。