1.やさしい
Where are urinary casts formed?
- AIn the urethra
- BIn the ureters
- CIn the urinary bladder
- DIn the kidney tubules
2.やさしい
Which hormone is measured in blood or urine to test for pregnancy?
- AAntidiuretic hormone (ADH)
- BThyroid-stimulating hormone (TSH)
- CFollicle-stimulating hormone (FSH)
- DHuman chorionic gonadotropin (hCG)
3.やさしい
A laboratory reports that a blood sample is "hemolyzed." What does this mean?
- AThe sample has a very low hemoglobin
- BRed cells in the sample have broken open
- CThe sample was taken from an artery
- DThe sample contains too many platelets
4.ふつう
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
- AA DVT is unlikely and can usually be ruled out
- BA pulmonary embolism is now certain to be present
- CThe test is useless and should always be ignored
- DA DVT is confirmed and anticoagulation is needed
5.ふつう
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
- AHigh TSH with a low free T4
- BLow TSH with a high free T4
- CNormal TSH with a low free T4
- DHigh TSH with a normal free T4
6.ふつう
A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?
- AA serum lipase test
- BA sweat chloride test
- CA baseline HIV test
- DA thyroid panel test
7.むずかしい
A patient with acute pancreatitis has a rising BUN, a falling calcium and a glucose of 250 mg/dL (13.9 mmol/L) over the first 48 hours. What do these results suggest?
- AA resolving, mild pancreatitis
- BIncreasingly severe pancreatitis
- CA lab error from lipemic samples
- DAn unrelated new kidney stone
8.むずかしい
A patient's low calcium does not improve despite several days of calcium replacement. Which other electrolyte should be checked and corrected?
- ASodium
- BChloride
- CBicarbonate
- DMagnesium
解答
- 1. D · In the kidney tubules
- 2. D · Human chorionic gonadotropin (hCG)
- 3. B · Red cells in the sample have broken open
- 4. A · A DVT is unlikely and can usually be ruled out
- 5. B · Low TSH with a high free T4
- 6. C · A baseline HIV test
- 7. B · Increasingly severe pancreatitis
- 8. D · Magnesium
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