1.やさしい
糖尿病の通常の診断基準を満たす HbA1c の値はどれですか?
- A4.5 %(26 mmol/mol)以上
- B6.5 %(48 mmol/mol)以上
- C5.5 %(37 mmol/mol)以上
- D5.0 %(31 mmol/mol)以上
2.やさしい
好中球減少症は、通常、絶対好中球数(ANC)が約どれくらいを下回る状態と定義されますか?
- A1.5 × 10³/µL(1500/mm³)
- B5.0 × 10³/µL(5000/mm³)
- C15 × 10³/µL(15 000/mm³)
- D150 × 10³/µL(150 000/mm³)
3.やさしい
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- ADrinks a measured glucose solution, and glucose is checked 2 hours later
- BEats a normal meal, and glucose is checked once later that evening
- CFasts for 3 days, and glucose is checked every morning before breakfast
- DReceives an insulin injection, and glucose is checked each hour
4.ふつう
When should a blood specimen tube be labeled?
- ABefore entering the room, so tubes are ready for the next patients
- BIn the laboratory, by the staff who receive the unlabeled sample
- CAt the nurses' station, after all samples for the shift are drawn
- DAt the bedside, in the patient's presence, using two identifiers
5.ふつう
A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?
- AAbsolute neutrophil count
- BInternational normalized ratio
- CSerum lithium level
- DSerum amylase
6.ふつう
A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7.8% (62 mmol/mol). What is the best interpretation?
- AAverage glucose over the past months has been above the target
- BThe patient has had frequent episodes of severe hypoglycemia
- CGlucose control has been excellent for the past several months
- DThe result shows today's fasting glucose is above the target
7.むずかしい
ナトリウム 132 mEq/L、血糖 600 mg/dL(33.3 mmol/L)の患者が入院しました。ナトリウム値を注意して解釈するのはなぜですか?
- Aナトリウムの結果は、検査室の誤りに違いないため
- Bブドウ糖は、測定されるナトリウムに影響しないため
- C高血糖は測定されるナトリウムを偽って上昇させるので、実際はもっと低いため
- D高血糖は水を血液中に引き込み、ナトリウムを希釈するため
8.むずかしい
A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?
- AIron deficiency from a poor diet over months
- BA normal finding in sickle cell disease
- CAn aplastic crisis, often caused by parvovirus B19
- DA vaso-occlusive pain crisis in the bones
解答
- 1. B · 6.5 %(48 mmol/mol)以上
- 2. A · 1.5 × 10³/µL(1500/mm³)
- 3. A · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 4. D · At the bedside, in the patient's presence, using two identifiers
- 5. A · Absolute neutrophil count
- 6. A · Average glucose over the past months has been above the target
- 7. D · 高血糖は水を血液中に引き込み、ナトリウムを希釈するため
- 8. C · An aplastic crisis, often caused by parvovirus B19
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