1.やさしい
What does a "culture and sensitivity" test of a sample show?
- AWhich organism grows and which antibiotics work on it
- BThe amount of antibiotic in the patient's blood
- CHow many white cells are present in the sample
- DWhether the patient is allergic to an antibiotic
2.やさしい
In the US (NCEP ATP III) classification, which total cholesterol level is called desirable for an adult?
- AAbove 240 mg/dL (6.2 mmol/L)
- BBelow 300 mg/dL (7.8 mmol/L)
- CBelow 200 mg/dL (5.2 mmol/L)
- DBetween 250 and 300 mg/dL (6.5–7.8 mmol/L)
3.やさしい
What is a typical reference range for urine specific gravity in an adult?
- AAbout 0.900–0.990
- BAbout 1.100–1.300
- CAbout 1.040–1.060
- DAbout 1.005–1.030
4.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-associated circulatory overload
- CA simple allergic reaction with hives
- DTransfusion-related acute lung injury (TRALI)
5.ふつう
An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?
- AThe drug and its metabolites build up and cause long lows
- BThe drug makes the glucose meter read falsely low
- CThe drug causes high potassium that lowers the glucose
- DThe drug stops working entirely when the kidneys fail
6.ふつう
心室性不整脈の患者のモニターに、ねじれるようなパターン(トルサード・ド・ポアント)が現れました。治療として静脈内投与されることが多い電解質はどれですか?
- A炭酸水素ナトリウム
- B炭酸カルシウム
- C硫酸マグネシウム
- Dリン酸カリウム
7.むずかしい
A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?
- ARecord "HI" and repeat the meter test at the next scheduled time
- BSend a venous sample to the lab and inform the provider at once
- CGive oral glucose in case the reading is wrong and the patient is low
- DAssume the meter is broken and give the usual insulin dose
8.むずかしい
A patient with severe sepsis is oozing blood from IV sites. Platelets 40 × 10³/µL, fibrinogen low, D-dimer very high, PT and aPTT both prolonged. Which condition fits best?
- AHemophilia A (factor VIII deficiency)
- BHeparin-induced thrombocytopenia (HIT)
- CImmune thrombocytopenic purpura (ITP)
- DDisseminated intravascular coagulation (DIC)
解答
- 1. A · Which organism grows and which antibiotics work on it
- 2. C · Below 200 mg/dL (5.2 mmol/L)
- 3. D · About 1.005–1.030
- 4. D · Transfusion-related acute lung injury (TRALI)
- 5. A · The drug and its metabolites build up and cause long lows
- 6. C · 硫酸マグネシウム
- 7. B · Send a venous sample to the lab and inform the provider at once
- 8. D · Disseminated intravascular coagulation (DIC)
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