1.やさしい
成人の総血清カルシウムの典型的な基準範囲はどれですか?
- A約 3.5–5.0 mg/dL(0.87–1.25 mmol/L)
- B約 8.5–10.5 mg/dL(2.1–2.6 mmol/L)
- C約 12–16 mg/dL(3.0–4.0 mmol/L)
- D約 1.3–2.1 mg/dL(0.3–0.5 mmol/L)
2.やさしい
What does the term "thrombocytosis" mean?
- AA low red cell count
- BA high white cell count
- CA low platelet count
- DA high platelet count
3.やさしい
Which gland produces thyroid-stimulating hormone (TSH)?
- AThe adrenal cortex
- BThe thyroid gland itself
- CThe anterior pituitary gland
- DThe parathyroid glands
4.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 laboratory charges extra when a tube is not filled correctly
- CAn overfull tube is needed to measure the potassium level
- DThe blood-to-anticoagulant ratio must be right for accurate clotting times
5.ふつう
2 日間嘔吐が続いている患者の BUN が 32 mg/dL(尿素 11.4 mmol/L)で、クレアチニンは正常です。最も考えられる原因はどれですか?
- A脱水
- B肝不全
- C低蛋白食
- D水分過剰
6.ふつう
The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?
- AAbout 3 days after the change
- BOnly after the infusion is stopped
- CAbout 6 hours after the change
- DAbout 30 minutes after the change
7.むずかしい
The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?
- A"I can have a light breakfast before the test"
- B"I'll fast overnight but can drink plain water"
- C"I'll stay seated during the test if I can"
- D"I'll avoid smoking until the test is over"
8.むずかしい
インスリンを静脈内持続投与している患者の血糖が 65 mg/dL(3.6 mmol/L)です。最もよい対応はどれですか?
- A同じ速度で続け、4 時間後に再測定する
- B低血糖のプロトコルに従い、医療者に知らせる
- C点滴を止め、血糖の再測定は朝まで待つ
- D心臓を守るために、経口のカリウムを投与する
解答
- 1. B · 約 8.5–10.5 mg/dL(2.1–2.6 mmol/L)
- 2. D · A high platelet count
- 3. C · The anterior pituitary gland
- 4. D · The blood-to-anticoagulant ratio must be right for accurate clotting times
- 5. A · 脱水
- 6. C · About 6 hours after the change
- 7. A · "I can have a light breakfast before the test"
- 8. B · 低血糖のプロトコルに従い、医療者に知らせる
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