1.やさしい
Which type of white blood cell is normally the most numerous in an adult's blood?
- ALymphocytes
- BNeutrophils
- CMonocytes
- DEosinophils
2.やさしい
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
- A15 mL/min/1.73 m²
- B60 mL/min/1.73 m²
- C90 mL/min/1.73 m²
- D45 mL/min/1.73 m²
3.やさしい
抗凝固薬を服用していない人の INR は、通常、約どれくらいですか?
- A5.0–6.0
- B2.0–3.0
- C0.8–1.2
- D3.5–4.5
4.ふつう
How should a blood sample for serum ammonia be handled?
- AKept warm and sent with the next routine batch
- BShaken firmly to mix it before it is sent away
- CPlaced on ice and sent to the laboratory at once
- DLeft at room temperature for several hours first
5.ふつう
A patient is on an IV insulin infusion protocol in the ICU. How often is the blood glucose usually checked?
- AOnce a day before breakfast
- BOnce every 12 hours
- COnly if symptoms occur
- DAbout every hour
6.ふつう
Which change in clotting tests is normal in late pregnancy?
- AINR rises to about 3.0
- BPlatelets rise above 600 × 10³/µL
- CFibrinogen and D-dimer rise
- DaPTT doubles from baseline
7.むずかしい
A patient has a sodium of 150 mEq/L, a glucose of 180 mg/dL and a BUN of 28 mg/dL. Using the formula 2 × Na + glucose/18 + BUN/2.8, what is the calculated serum osmolality?
- AAbout 285 mOsm/kg, which is normal
- BAbout 320 mOsm/kg, which is high
- CAbout 358 mOsm/kg, which is high
- DAbout 300 mOsm/kg, which is normal
8.むずかしい
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?
- AFluid restriction to protect the heart from overload
- BHigh-dose NSAIDs for the muscle pain
- CLarge-volume IV fluids with cardiac monitoring
- DAn oral potassium supplement with each meal
解答
- 1. B · Neutrophils
- 2. A · 15 mL/min/1.73 m²
- 3. C · 0.8–1.2
- 4. C · Placed on ice and sent to the laboratory at once
- 5. D · About every hour
- 6. C · Fibrinogen and D-dimer rise
- 7. B · About 320 mOsm/kg, which is high
- 8. C · Large-volume IV fluids with cardiac monitoring
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