1.やさしい
抗凝固薬を服用していない人の INR は、通常、約どれくらいですか?
- A2.0–3.0
- B0.8–1.2
- C3.5–4.5
- D5.0–6.0
2.やさしい
What does the specificity of a diagnostic test describe?
- AThe cost of the test compared with other tests
- BThe total number of people who take the test each year
- CThe proportion of people with the disease who test positive
- DThe proportion of people without the disease who test negative
3.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高ナトリウム血症
- B高カルシウム血症
- C低カリウム血症
- D高カリウム血症
4.ふつう
肝硬変の患者のアルブミンが 2.2 g/dL(22 g/L)です。最も関連しそうな所見はどれですか?
- A浮腫と腹水
- B高カリウム血症
- C高血圧
- D尿量の増加
5.ふつう
In the US, when is a pregnant woman without known risk factors usually screened for gestational diabetes?
- AAt about 6–8 weeks of pregnancy
- BAt about 38–40 weeks of pregnancy
- COnly after the baby is born
- DAt about 24–28 weeks of pregnancy
6.ふつう
Why must a blue-top (citrate) coagulation tube be filled to the correct level?
- AUnderfilled tubes always give a falsely low hemoglobin and hematocrit
- BThe blood-to-anticoagulant ratio must be right for accurate clotting times
- CAn overfull tube is needed to measure the potassium level
- DThe laboratory charges extra when a tube is not filled correctly
7.むずかしい
硫酸マグネシウムの静脈内投与中に、中毒を早期に発見するのに最も役立つアセスメントはどれですか?
- A1 時間ごとの皮膚の色と毛細血管再充満時間
- B腸蠕動音と腹囲
- C膝蓋腱反射、呼吸数、尿量
- D1 時間ごとの血糖と瞳孔の大きさ
8.むずかしい
A patient has a positive hepatitis C antibody (anti-HCV) test. What is the most appropriate next step?
- AGive hepatitis C vaccine to prevent further infection
- BTest for HCV RNA to find out whether infection is current
- CRepeat the antibody test, as a positive test is always false
- DTell the patient they definitely have chronic hepatitis C
解答
- 1. B · 0.8–1.2
- 2. D · The proportion of people without the disease who test negative
- 3. D · 高カリウム血症
- 4. A · 浮腫と腹水
- 5. D · At about 24–28 weeks of pregnancy
- 6. B · The blood-to-anticoagulant ratio must be right for accurate clotting times
- 7. C · 膝蓋腱反射、呼吸数、尿量
- 8. B · Test for HCV RNA to find out whether infection is current
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