1.やさしい
Which fasting triglyceride level is commonly described as normal?
- ABetween 200 and 499 mg/dL (2.3–5.6 mmol/L)
- BBelow 150 mg/dL (1.7 mmol/L)
- CAbove 1,000 mg/dL (11.3 mmol/L)
- DAbove 500 mg/dL (5.6 mmol/L)
2.やさしい
A raised alkaline phosphatase (ALP) is most typical of:
- ALow production of hormone by the thyroid gland
- BBlocked bile flow or increased bone turnover
- CAcute damage to the heart muscle
- DInflammation of the lining of the urinary bladder
3.やさしい
What is the main purpose of a Gram stain?
- ATo measure exactly how many bacteria are in the blood
- BTo test which antibiotics a bacterium is sensitive to
- CTo detect viruses in a sample of respiratory secretions
- DTo sort bacteria quickly into gram-positive or negative
4.ふつう
慢性腎臓病の患者は、酢酸カルシウムやセベラマーなどのリン吸着薬をいつ服用すべきですか?
- A気分が悪いときだけ
- B食事とともに
- C週に 1 回だけ
- D空腹時の就寝前
5.ふつう
A patient with chronic kidney disease has a magnesium of 3.8 mEq/L (1.9 mmol/L). Which product is the most likely cause?
- AProton pump inhibitors taken long term
- BLoop diuretics such as furosemide
- CMagnesium-containing laxatives or antacids
- DExcess alcohol use over many years
6.ふつう
A patient had a right mastectomy with removal of axillary lymph nodes. Where is the best place to draw blood?
- AThe right hand
- BEither arm equally
- CThe left arm
- DThe right arm
7.むずかしい
A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1.8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8.8 mmol/L). Which condition fits best?
- APrerenal kidney injury
- BLiver cirrhosis only
- CNephrotic syndrome
- DAcute pyelonephritis
8.むずかしい
リチウム濃度 1.0 mEq/L が、患者の朝の服用の 2 時間後に採血され、処方者は用量を増やそうとしています。看護師は何を指摘すべきですか?
- A濃度は中毒域なので、リチウムを永久に中止すべきである
- B濃度が低すぎるので、大幅な増量は明らかに安全である
- C検体が服用から早すぎる時点で採取されたため、有効な濃度ではない
- Dリチウム濃度は、結果に影響することなく、1 日のうちいつでも採血できる
解答
- 1. B · Below 150 mg/dL (1.7 mmol/L)
- 2. B · Blocked bile flow or increased bone turnover
- 3. D · To sort bacteria quickly into gram-positive or negative
- 4. B · 食事とともに
- 5. C · Magnesium-containing laxatives or antacids
- 6. C · The left arm
- 7. C · Nephrotic syndrome
- 8. C · 検体が服用から早すぎる時点で採取されたため、有効な濃度ではない
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