1.やさしい
糖尿病のない成人で、典型的な正常範囲内にある空腹時血糖はどれですか?
- A140 mg/dL(7.8 mmol/L)
- B210 mg/dL(11.7 mmol/L)
- C85 mg/dL(4.7 mmol/L)
- D45 mg/dL(2.5 mmol/L)
2.やさしい
What is the main role of fibrinogen in the blood?
- AIt transports iron from the gut to the bone marrow
- BIt breaks down clots once the bleeding has stopped
- CIt is converted to fibrin, which forms the mesh of a clot
- DIt carries oxygen from the lungs to the body tissues
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高カリウム血症
- B高ナトリウム血症
- C高カルシウム血症
- D低カリウム血症
4.ふつう
Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?
- AHives and itching without other signs
- BBack pain with dark red urine output
- CA low temperature and slow heart rate
- DCrackles, hypertension and a raised BNP
5.ふつう
A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?
- AA sudden failure of the bone marrow
- BIncreased red cell production
- CDilution of the blood by the IV fluid
- DA laboratory error in the first sample
6.ふつう
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
- AReference ranges are the same in every laboratory worldwide
- BAny result outside the range always means disease is present
- CRanges cover about 95% of healthy people, so some fall outside
- DReference ranges include every healthy person without exception
7.むずかしい
Two weeks after a sore throat, a child develops dark (cola-colored) urine, puffy eyes and high blood pressure. Urinalysis shows red cell casts and protein. Which condition is most likely?
- APrerenal acute kidney injury
- BLower urinary tract infection (cystitis)
- CKidney stone in the ureter
- DPost-streptococcal glomerulonephritis
8.むずかしい
At the start of a shift, the nurse reviews four new results. Which patient needs attention first?
- AGlucose 180 mg/dL (10 mmol/L) after a meal in a patient with diabetes
- BSodium 119 mEq/L in a patient with new confusion and vomiting
- CHemoglobin 11.0 g/dL (110 g/L) in a patient with rheumatoid arthritis
- DPotassium 5.2 mEq/L in a patient with stable chronic kidney disease
解答
- 1. C · 85 mg/dL(4.7 mmol/L)
- 2. C · It is converted to fibrin, which forms the mesh of a clot
- 3. A · 高カリウム血症
- 4. D · Crackles, hypertension and a raised BNP
- 5. C · Dilution of the blood by the IV fluid
- 6. C · Ranges cover about 95% of healthy people, so some fall outside
- 7. D · Post-streptococcal glomerulonephritis
- 8. B · Sodium 119 mEq/L in a patient with new confusion and vomiting
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