1.やさしい
What does a raised D-dimer level show?
- AThe patient is taking too much warfarin
- BThe platelet count is too low to stop bleeding
- CFibrin clots are being formed and broken down in the body
- DThe liver is no longer able to make clotting factors
2.やさしい
C 反応性蛋白(CRP)の上昇は、主に何を示しますか?
- A特に腎不全
- B脱水と水分喪失
- C特に心臓発作
- D体内の炎症
3.やさしい
糖尿病の通常の診断基準を満たす HbA1c の値はどれですか?
- A5.0 %(31 mmol/mol)以上
- B4.5 %(26 mmol/mol)以上
- C6.5 %(48 mmol/mol)以上
- D5.5 %(37 mmol/mol)以上
4.ふつう
A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?
- AUric acid
- BPhosphate
- CSodium bicarbonate
- DMagnesium
5.ふつう
Which change in clotting tests is normal in late pregnancy?
- AaPTT doubles from baseline
- BINR rises to about 3.0
- CPlatelets rise above 600 × 10³/µL
- DFibrinogen and D-dimer rise
6.ふつう
A patient who is breathless during a transfusion has hypotension, fever and bilateral lung infiltrates, with no signs of fluid overload. Which complication is most likely?
- AA mild febrile nonhemolytic reaction
- BTransfusion-related acute lung injury (TRALI)
- CA simple allergic reaction with hives
- DTransfusion-associated circulatory overload
7.むずかしい
筋肉量の少ない虚弱な高齢者で、正常なクレアチニンが誤解を招くことがあるのはなぜですか?
- A筋肉が少ないとクレアチニンが少なく作られ、腎機能の低下が隠れるため
- B高齢者は、常に若い成人より高いクレアチニンをもつため
- Cクレアチニン値は、筋肉量にまったく依存しないため
- D正常なクレアチニンは、常に正常な腎機能を証明するため
8.むずかしい
The nurse teaches a patient with chronic kidney disease about a potassium-restricted diet. Which statement shows a need for further teaching?
- A"I'll limit bananas, oranges and potatoes in my meals"
- B"I'll check food labels and ask my dietitian about portion sizes"
- C"Dried apricots and raisins will be a good snack for me now"
- D"I can leach potatoes by soaking them before cooking them"
解答
- 1. C · Fibrin clots are being formed and broken down in the body
- 2. D · 体内の炎症
- 3. C · 6.5 %(48 mmol/mol)以上
- 4. D · Magnesium
- 5. D · Fibrinogen and D-dimer rise
- 6. B · Transfusion-related acute lung injury (TRALI)
- 7. A · 筋肉が少ないとクレアチニンが少なく作られ、腎機能の低下が隠れるため
- 8. C · "Dried apricots and raisins will be a good snack for me now"
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