1.やさしい
成人の血清アルブミンの典型的な基準範囲はどれですか?
- A約 12–16 g/dL(120–160 g/L)
- B約 0.5–1.0 g/dL(5–10 g/L)
- C約 8.5–10.5 g/dL(85–105 g/L)
- D約 3.5–5.0 g/dL(35–50 g/L)
2.やさしい
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
- A45 mL/min/1.73 m²
- B15 mL/min/1.73 m²
- C60 mL/min/1.73 m²
- D90 mL/min/1.73 m²
3.やさしい
What does a "stat" laboratory order mean?
- AThe test is done if time allows
- BThe test is done immediately
- CThe test is done next week
- DThe test is done at night
4.ふつう
A patient on warfarin has an INR of 7.8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?
- AProtamine sulfate
- BVitamin K (phytonadione)
- CNaloxone hydrochloride
- DAcetylcysteine
5.ふつう
患者の左前腕に輸液が入っています。看護師はどこから採血すべきですか?
- A同じ腕の、点滴の刺入部のすぐ上から
- B輸液は結果に影響しないので、どの静脈からでも
- C輸液が流れている間に、点滴の留置針から
- D反対側の腕から
6.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 DVT is confirmed and anticoagulation is needed
- BThe test is useless and should always be ignored
- CA pulmonary embolism is now certain to be present
- DA DVT is unlikely and can usually be ruled out
7.むずかしい
看護師が最初に報告すべき患者の結果はどれですか?
- A発汗して錯乱している患者の血糖 42 mg/dL(2.3 mmol/L)
- B目標をわずかに上回る総コレステロール
- C2 型糖尿病の患者の HbA1c 7.4 %(57 mmol/mol)
- D安定した CKD が知られている患者のクレアチニン 1.6 mg/dL(141 µmol/L)
8.むずかしい
A patient has a positive hepatitis C antibody (anti-HCV) test. What is the most appropriate next step?
- ATell the patient they definitely have chronic hepatitis C
- BTest for HCV RNA to find out whether infection is current
- CGive hepatitis C vaccine to prevent further infection
- DRepeat the antibody test, as a positive test is always false
解答
- 1. D · 約 3.5–5.0 g/dL(35–50 g/L)
- 2. B · 15 mL/min/1.73 m²
- 3. B · The test is done immediately
- 4. B · Vitamin K (phytonadione)
- 5. D · 反対側の腕から
- 6. D · A DVT is unlikely and can usually be ruled out
- 7. A · 発汗して錯乱している患者の血糖 42 mg/dL(2.3 mmol/L)
- 8. B · Test for HCV RNA to find out whether infection is current
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