1.やさしい
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- AEats a normal meal, and glucose is checked once later that evening
- BReceives an insulin injection, and glucose is checked each hour
- CFasts for 3 days, and glucose is checked every morning before breakfast
- DDrinks a measured glucose solution, and glucose is checked 2 hours later
2.やさしい
A raised neutrophil count (neutrophilia) is most typical of:
- AAcute bacterial infection
- BHay fever and asthma
- CA mild viral cold
- DVitamin B12 deficiency
3.やさしい
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- ALow
- BHigh
- CNormal
- DAbsent
4.ふつう
慢性腎臓病の患者は、酢酸カルシウムやセベラマーなどのリン吸着薬をいつ服用すべきですか?
- A空腹時の就寝前
- B気分が悪いときだけ
- C週に 1 回だけ
- D食事とともに
5.ふつう
Which technique is recommended for a capillary blood glucose test on an adult's finger?
- ASqueeze the finger very hard
- BPrick the center of the fingertip
- CPrick the side of the fingertip
- DUse the same finger every time
6.ふつう
A patient had a right mastectomy with removal of axillary lymph nodes. Where is the best place to draw blood?
- AThe left arm
- BThe right hand
- CThe right arm
- DEither arm equally
7.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
8.むずかしい
A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?
- AA vaso-occlusive pain crisis in the bones
- BAn aplastic crisis, often caused by parvovirus B19
- CA normal finding in sickle cell disease
- DIron deficiency from a poor diet over months
解答
- 1. D · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 2. A · Acute bacterial infection
- 3. B · High
- 4. D · 食事とともに
- 5. C · Prick the side of the fingertip
- 6. A · The left arm
- 7. A · High calcium increases the risk of digoxin toxicity
- 8. B · An aplastic crisis, often caused by parvovirus B19
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