1.やさしい
The tumor marker CA-125 is most often used to follow which cancer?
- ALung cancer
- BThyroid cancer
- CColon cancer
- DOvarian cancer
2.やさしい
A raised alkaline phosphatase (ALP) is most typical of:
- AInflammation of the lining of the urinary bladder
- BBlocked bile flow or increased bone turnover
- CLow production of hormone by the thyroid gland
- DAcute damage to the heart muscle
3.やさしい
主に肝細胞が傷害されたときに上昇する肝臓の検査はどれですか?
- AALT(アラニンアミノトランスフェラーゼ)
- Bヘモグロビン A1c(HbA1c)
- Cクレアチンキナーゼ(CK)
- D血中尿素窒素(BUN)
4.ふつう
Which IV fluid can be given through the same line as a red cell transfusion?
- A0.45% sodium chloride
- B0.9% sodium chloride
- C5% dextrose in water
- DLactated Ringer's (Hartmann's) solution
5.ふつう
慢性腎臓病の患者に、貧血が多いのはなぜですか?
- A腎臓が、赤血球の産生を促すエリスロポエチンをあまり作らなくなるため
- B傷んだ腎臓が、赤血球を濾過して破壊するため
- C腎疾患での高カリウムが、赤血球を壊すため
- D尿毒症性の毒素により、骨髄が赤血球ではなく白血球を作るようになるため
6.ふつう
処方された塩化カリウムを静脈内投与する前に、最も重要なアセスメントはどれですか?
- A瞳孔の大きさと対光反射
- B前腕の皮膚ツルゴール
- C尿量と腎機能
- D両耳の聴力
7.むずかしい
The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?
- A"A lower result means less risk of damage to my eyes and kidneys"
- B"My daily finger-stick readings still matter between the tests"
- C"I must not eat anything for 12 hours before the HbA1c test"
- D"The test shows my average glucose over the past few months"
8.むずかしい
A patient on lithium has had vomiting and diarrhea for 3 days and has been taking ibuprofen. They now have a coarse tremor and confusion. The lithium level is 2.2 mEq/L. What is the best interpretation and action?
- ALithium toxicity; hold lithium and report urgently
- BIbuprofen side effects only; give it with food
- CA normal level; continue lithium as prescribed
- DA low level; ask for the lithium dose to be raised
解答
- 1. D · Ovarian cancer
- 2. B · Blocked bile flow or increased bone turnover
- 3. A · ALT(アラニンアミノトランスフェラーゼ)
- 4. B · 0.9% sodium chloride
- 5. A · 腎臓が、赤血球の産生を促すエリスロポエチンをあまり作らなくなるため
- 6. C · 尿量と腎機能
- 7. C · "I must not eat anything for 12 hours before the HbA1c test"
- 8. A · Lithium toxicity; hold lithium and report urgently
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