1.やさしい
A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?
- ABladder urothelial cancer
- BHepatocellular (liver) cancer
- CDuctal breast cancer
- DProstate adenocarcinoma
2.やさしい
Why is AST less specific for liver damage than ALT?
- AAST is made by the bone marrow, not the liver
- BAST is also found in heart and skeletal muscle
- CAST is found only in the kidney tubules
- DAST is not measured in the blood at all
3.やさしい
A serum sodium of 151 mEq/L is called:
- AHyponatremia
- BHypernatremia
- CHypercalcemia
- DHyperkalemia
4.ふつう
When is a peak level for an IV aminoglycoside such as gentamicin usually drawn?
- AJust before the next dose is started
- BExactly 24 hours after the first dose
- CAbout 30 minutes after the infusion ends
- DAt any time convenient for the patient
5.ふつう
A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?
- ASerum calcium
- BSerum sodium
- CSerum amylase
- DSerum chloride
6.ふつう
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe treatment is suppressing the virus very well
- BThe CD4 count must now be dangerously low too
- CThe virus has been completely cured and removed
- DThe treatment can now be stopped without any risk
7.むずかしい
A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?
- ABleeding into the abdominal cavity
- BMalignant ascites from cancer
- CSpontaneous bacterial peritonitis
- DNormal ascitic fluid in cirrhosis
8.むずかしい
A patient on a stable dose of levothyroxine now has a TSH of 9.8 mIU/L. She recently started taking her calcium and iron supplements with her morning levothyroxine. What is the most likely explanation?
- AThe TSH is low, showing that the dose is now too high
- BThe supplements are reducing levothyroxine absorption
- CThe supplements are causing an overactive thyroid gland
- DThe result is normal for a person on levothyroxine therapy
解答
- 1. B · Hepatocellular (liver) cancer
- 2. B · AST is also found in heart and skeletal muscle
- 3. B · Hypernatremia
- 4. C · About 30 minutes after the infusion ends
- 5. A · Serum calcium
- 6. A · The treatment is suppressing the virus very well
- 7. C · Spontaneous bacterial peritonitis
- 8. B · The supplements are reducing levothyroxine absorption
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