1.やさしい
The HbA1c reflects the average blood glucose over about which period?
- AThe past 2–3 months
- BThe past 24 hours
- CThe past 1–2 weeks
- DThe past 1–2 years
2.やさしい
What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?
- AAbout 98–106 mEq/L
- BAbout 22–28 mEq/L
- CAbout 8–12 mEq/L
- DAbout 35–45 mEq/L
3.やさしい
Which form of bilirubin rises mainly when red cells are broken down faster than normal?
- AConjugated (direct)
- BUnconjugated (indirect)
- CStool bilirubin
- DUrine bilirubin
4.ふつう
On the first day after major surgery, a patient's white cell count is 12.5 × 10³/µL, with no fever or wound signs. What is the best interpretation?
- AA common stress response to surgery that is monitored
- BA sign of leukemia that needs bone marrow testing
- CDefinite wound infection that needs antibiotics now
- DA laboratory error, since surgery lowers white cells
5.ふつう
A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?
- AThe patient has stopped the drug
- BThe levothyroxine dose is too low
- CThe thyroid is now completely normal
- DThe levothyroxine dose is too high
6.ふつう
A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?
- AA transfusion of group O Rh-positive red cells
- BAn IV dose of vitamin K given for the fetus
- CAnti-D immunoglobulin (Rho(D) immune globulin)
- DDaily oral iron and folic acid supplements only
7.むずかしい
A health care worker's hepatitis B tests show: HBsAg negative, anti-HBs positive, anti-HBc positive. What does this mean?
- AImmunity from vaccination only, never infected
- BNot immune and never exposed to the virus
- CCurrent chronic hepatitis B infection
- DPast infection that has resolved, with immunity
8.むずかしい
血小板数が 35 × 10³/µL の患者に、筋肉内注射が処方されました。看護師はどうすべきですか?
- A処方どおりに注射し、部位を強くマッサージする
- Bより長い針で注射する
- Cほかの経路を使えないか、処方者に確認する
- D注射して、温罨法を当てる
解答
- 1. A · The past 2–3 months
- 2. B · About 22–28 mEq/L
- 3. B · Unconjugated (indirect)
- 4. A · A common stress response to surgery that is monitored
- 5. D · The levothyroxine dose is too high
- 6. C · Anti-D immunoglobulin (Rho(D) immune globulin)
- 7. D · Past infection that has resolved, with immunity
- 8. C · ほかの経路を使えないか、処方者に確認する
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