1.やさしい
In the US (NCEP ATP III) classification, which total cholesterol level is called desirable for an adult?
- ABelow 200 mg/dL (5.2 mmol/L)
- BBelow 300 mg/dL (7.8 mmol/L)
- CAbove 240 mg/dL (6.2 mmol/L)
- DBetween 250 and 300 mg/dL (6.5–7.8 mmol/L)
2.やさしい
Which condition commonly causes a high serum potassium?
- AKidney failure
- BSevere diarrhea
- CRepeated vomiting
- DLoop diuretic use
3.やさしい
成人の血清カリウムの典型的な基準範囲はどれですか?
- A3.5–5.0 mEq/L
- B135–145 mEq/L
- C1.3–2.1 mEq/L
- D6.0–8.0 mEq/L
4.ふつう
敗血症が疑われる患者の血液培養は、いつ採取すべきですか?
- A発熱が 3 日を超えて続く場合のみ
- B抗菌薬は結果に影響しないので、いつでも
- C最初の抗菌薬の前に、投与をあまり遅らせずに
- D抗菌薬の最初の 3 回の投与後
5.ふつう
A patient with hepatic encephalopathy is receiving lactulose. Which finding best shows that the treatment is effective?
- ATwo to three soft stools a day and clearer thinking
- BNo bowel movement for 2 days and calm sleep
- CSix to eight watery stools a day with dizziness
- DA rising serum ammonia with a slower flapping tremor
6.ふつう
A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?
- AA rise in serum calcium
- BA rise in serum sodium
- CA fall in blood glucose
- DA fall in serum potassium
7.むずかしい
Which set of results most strongly suggests hemolytic anemia?
- ALow hemoglobin, high MCV, low vitamin B12, normal bilirubin
- BLow hemoglobin, low platelets, low white cells, low reticulocytes
- CLow hemoglobin, low reticulocytes, low MCV, low ferritin
- DLow hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
8.むずかしい
A patient on long-term amiodarone has fatigue and weight gain. TSH is 11 mIU/L and the free T4 is low. What is the most likely explanation?
- AAmiodarone-induced hypothyroidism
- BSecondary hypothyroidism from pituitary failure
- CA normal response to amiodarone needing no action
- DAmiodarone-induced hyperthyroidism
解答
- 1. A · Below 200 mg/dL (5.2 mmol/L)
- 2. A · Kidney failure
- 3. A · 3.5–5.0 mEq/L
- 4. C · 最初の抗菌薬の前に、投与をあまり遅らせずに
- 5. A · Two to three soft stools a day and clearer thinking
- 6. D · A fall in serum potassium
- 7. D · Low hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
- 8. A · Amiodarone-induced hypothyroidism
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。