1.やさしい
Which blood marker is the most specific for injury to the heart muscle?
- ACardiac troponin
- BLactate dehydrogenase
- CTotal creatine kinase
- DSerum myoglobin
2.やさしい
A positive hepatitis B surface antigen (HBsAg) test means:
- AThe person is immune from vaccination only
- BThe person has never met the virus
- CThe person had hepatitis A in the past
- DThe person currently has hepatitis B infection
3.やさしい
What does a raised erythrocyte sedimentation rate (ESR) show?
- ADamage to heart muscle within the past few hours
- BInflammation somewhere in the body, without showing where
- CA specific infection of the urinary tract by bacteria
- DA low level of iron stored in the bone marrow
4.ふつう
A patient takes high-dose biotin supplements for hair and nails. Why should the nurse report this before blood tests?
- ABiotin can distort some immunoassays, such as troponin or TSH
- BBiotin causes a true rise in blood glucose in all patients
- CBiotin lowers the hemoglobin by destroying the red cells
- DBiotin makes the blood clot in the tube before testing
5.ふつう
When should the nurse check the glucose before giving a mealtime dose of rapid-acting insulin (such as lispro)?
- AOnly once a day, then giving the same dose before every meal
- BJust before the meal, giving insulin when the food is ready
- CAt bedtime only, then giving the mealtime insulin overnight
- DTwo hours after the meal, then giving the insulin dose
6.ふつう
A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?
- ASerum ammonia
- BSerum lipase
- CCreatine kinase (CK)
- DCardiac troponin
7.むずかしい
A patient's results: sodium 140 mEq/L, chloride 100 mEq/L, bicarbonate 12 mEq/L. What is the anion gap, and what does it suggest?
- A52 mEq/L, a very high anion gap
- B40 mEq/L, a high anion gap
- C28 mEq/L, a high anion gap
- D12 mEq/L, a normal anion gap
8.むずかしい
栄養不良の患者が再び食べ始め、3 日目にリン酸が 1.2 mg/dL(0.39 mmol/L)で、筋力低下と息切れがあります。主なリスクは何ですか?
- A骨から放出されたカルシウムによる腎結石
- B低リン酸による呼吸筋の脱力と心不全
- C細胞がカリウムを放出することによる高カリウム血症
- D急速な体重増加だが、深刻な危険はない
解答
- 1. A · Cardiac troponin
- 2. D · The person currently has hepatitis B infection
- 3. B · Inflammation somewhere in the body, without showing where
- 4. A · Biotin can distort some immunoassays, such as troponin or TSH
- 5. B · Just before the meal, giving insulin when the food is ready
- 6. C · Creatine kinase (CK)
- 7. C · 28 mEq/L, a high anion gap
- 8. B · 低リン酸による呼吸筋の脱力と心不全
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