1.やさしい
血清カリウムが 5.9 mEq/L の状態は何と呼ばれますか?
- A高カリウム血症
- B低カリウム血症
- C高ナトリウム血症
- D高カルシウム血症
2.やさしい
ナトリウムとカリウムについて、1 mEq/L と 1 mmol/L の関係はどれですか?
- Aこれらのイオンでは、1 mEq/L は 0.5 mmol/L に等しい
- B測っているものが異なるため、比較できない
- C各イオンが 1 価なので、等しい
- Dこれらのイオンでは、1 mEq/L は 2 mmol/L に等しい
3.やさしい
On a liver panel, "direct bilirubin" refers to which form of bilirubin?
- AUnconjugated bilirubin
- BBilirubin in the stool
- CTotal urine urobilinogen
- DConjugated bilirubin
4.ふつう
A breathless patient in the emergency department has a BNP below 100 pg/mL. What does this suggest?
- AThe kidneys are failing and the patient needs dialysis
- BHeart failure is an unlikely cause of the breathlessness
- CSevere heart failure is certainly the cause of the problem
- DThe patient has had a myocardial infarction in the past day
5.ふつう
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA high serum potassium
- BA high serum calcium
- CA low serum magnesium
- DA low serum sodium
6.ふつう
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
- AComplete blood count, liver tests and kidney function
- BTroponin, creatine kinase and myoglobin
- CSerum lithium, sodium and urine specific gravity
- DSerum amylase, lipase and blood ketones
7.むずかしい
A patient has macrocytic anemia with low vitamin B12 and antibodies to intrinsic factor. What does this suggest, and how is it usually treated?
- AHemolytic anemia, treated with blood transfusion
- BFolate deficiency, treated with folic acid only
- CPernicious anemia, treated with B12 injections
- DIron deficiency, treated with oral iron tablets
8.むずかしい
カルシウムが 6.8 mg/dL(1.7 mmol/L)の患者が、突然、ぜいぜいした呼吸と嗄声を呈しました。これは何を示唆しますか?
- A治療なしで過ぎ去る、正常な反応
- B喉頭けいれん。緊急の助けと静脈内カルシウムが必要な緊急事態
- C今朝始まった普通の風邪
- D血液検査の結果についての不安で、穏やかな安心づけが必要
解答
- 1. A · 高カリウム血症
- 2. C · 各イオンが 1 価なので、等しい
- 3. D · Conjugated bilirubin
- 4. B · Heart failure is an unlikely cause of the breathlessness
- 5. D · A low serum sodium
- 6. A · Complete blood count, liver tests and kidney function
- 7. C · Pernicious anemia, treated with B12 injections
- 8. B · 喉頭けいれん。緊急の助けと静脈内カルシウムが必要な緊急事態
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