1.やさしい
Which blood group's plasma can be given to patients of any ABO group (universal plasma donor)?
- AGroup O
- BGroup AB
- CGroup A
- DGroup B
2.やさしい
Which laboratory test best reflects the body's iron stores?
- ASerum ferritin
- BSerum albumin
- CPlatelet count
- DSerum sodium
3.やさしい
成人の血清リン酸の典型的な基準範囲はどれですか?
- A約 5.5–7.5 mg/dL(1.8–2.4 mmol/L)
- B約 0.5–1.5 mg/dL(0.2–0.5 mmol/L)
- C約 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- D約 8.5–10.5 mg/dL(2.1–2.6 mmol/L)
4.ふつう
A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?
- AA fall in serum potassium
- BA rise in serum sodium
- CA rise in serum calcium
- DA fall in blood glucose
5.ふつう
A test has very high sensitivity for a disease. What does a negative result mean?
- AThe patient must have a different disease instead
- BThe disease is unlikely, so it helps rule it out
- CThe disease is certain, so treatment should begin
- DThe result cannot be used, because sensitivity is high
6.ふつう
A patient scheduled for surgery this morning has a potassium of 3.0 mEq/L on pre-operative tests. What should the nurse do?
- ARepeat the test after the surgery is finished
- BGive an oral potassium dose without a prescription
- CReport it to the surgical team before surgery
- DSend the patient to surgery without comment
7.むずかしい
A patient has a hematocrit of 60% and a raised red cell mass. Which result suggests polycythemia vera rather than secondary polycythemia from chronic hypoxia?
- AA high erythropoietin level
- BA low erythropoietin level
- CA low oxygen saturation
- DA high carboxyhemoglobin
8.むずかしい
A patient receiving chemotherapy has a white cell count of 1.8 × 10³/µL with 20% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?
- A4,500/µL
- B360/µL
- C1,800/µL
- D450/µL
解答
- 1. B · Group AB
- 2. A · Serum ferritin
- 3. C · 約 2.5–4.5 mg/dL(0.8–1.5 mmol/L)
- 4. A · A fall in serum potassium
- 5. B · The disease is unlikely, so it helps rule it out
- 6. C · Report it to the surgical team before surgery
- 7. B · A low erythropoietin level
- 8. D · 450/µL
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