1.やさしい
Which hemoglobin value in an adult man is within the typical reference range?
- A15.0 g/dL (150 g/L)
- B20.5 g/dL (205 g/L)
- C9.0 g/dL (90 g/L)
- D5.5 g/dL (55 g/L)
2.やさしい
Which drug commonly causes a low serum potassium?
- AAmiloride
- BFurosemide
- CSpironolactone
- DLisinopril
3.やさしい
A urine dipstick is positive for nitrites. What does this most likely show?
- ARed blood cells leaking from the glomeruli
- BBacteria in the urine that convert nitrate to nitrite
- CGlucose spilling into the urine from high blood levels
- DKetones produced from fat breakdown in fasting
4.ふつう
A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?
- AAspirate from the sampling port with a sterile syringe
- BPour urine from the drainage bag into a sterile cup
- CRemove the catheter and culture the catheter tip
- DDisconnect the catheter from the tubing and let it drain
5.ふつう
Which instruction is correct for a patient taking an oral potassium chloride supplement?
- ATake it with food and a full glass of water, and do not crush extended-release tablets
- BTake it on an empty stomach with only a small sip of water to speed absorption
- CUse a salt substitute as well, so less of the tablet is needed each day
- DCrush the extended-release tablets and mix them with a little water if needed
6.ふつう
A stool test for Clostridioides difficile is ordered. Which sample is appropriate?
- AAny stool after a laxative dose
- BAn unformed (liquid or soft) stool
- CA formed, hard stool sample
- DA rectal swab from a patient with constipation
7.むずかしい
糖尿病性ケトアシドーシスの患者がインスリンの静脈内持続投与を受けています。特に綿密なモニタリングが必要な検査値はどれですか?
- Aインスリンが腎臓から大量のナトリウムを排泄させるため、ナトリウム
- Bインスリンが赤血球を破壊するため、ヘモグロビン
- Cインスリンがカリウムを細胞内に移動させ、急速に低下しうるため、カリウム
- Dインスリンが肝臓にアルブミンの産生を止めさせるため、アルブミン
8.むずかしい
A young man has a swollen knee after minor trauma. His aPTT is prolonged, but his PT/INR and platelet count are normal. Which condition fits best?
- AVitamin K deficiency from poor diet
- BImmune thrombocytopenia (ITP)
- CDisseminated intravascular coagulation
- DHemophilia A (factor VIII deficiency)
解答
- 1. A · 15.0 g/dL (150 g/L)
- 2. B · Furosemide
- 3. B · Bacteria in the urine that convert nitrate to nitrite
- 4. A · Aspirate from the sampling port with a sterile syringe
- 5. A · Take it with food and a full glass of water, and do not crush extended-release tablets
- 6. B · An unformed (liquid or soft) stool
- 7. C · インスリンがカリウムを細胞内に移動させ、急速に低下しうるため、カリウム
- 8. D · Hemophilia A (factor VIII deficiency)
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