1.やさしい
Which laboratory test is used to diagnose sickle cell disease?
- AErythrocyte sedimentation rate
- BProthrombin time with INR
- CSerum ferritin and transferrin saturation
- DHemoglobin electrophoresis
2.やさしい
成人の血清カリウムの典型的な基準範囲はどれですか?
- A6.0–8.0 mEq/L
- B135–145 mEq/L
- C1.3–2.1 mEq/L
- D3.5–5.0 mEq/L
3.やさしい
A urine dipstick is positive for nitrites. What does this most likely show?
- ABacteria in the urine that convert nitrate to nitrite
- BKetones produced from fat breakdown in fasting
- CGlucose spilling into the urine from high blood levels
- DRed blood cells leaking from the glomeruli
4.ふつう
Why is a baseline platelet count taken before starting heparin therapy?
- ABecause heparin is given at a dose based on the platelet count
- BSo a later fall from heparin-induced thrombocytopenia is detected
- CBecause heparin increases the platelet count to dangerous levels
- DSo that the INR can be calculated from the platelet count later
5.ふつう
In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?
- AA sign of blocked bile ducts
- BA sign of acute viral hepatitis
- CA sign of new bone cancer
- DA normal rise from placental ALP
6.ふつう
A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?
- AInternational normalized ratio
- BSerum amylase
- CSerum lithium level
- DAbsolute neutrophil count
7.むずかしい
Four drug levels are reported. Which patient should the nurse assess first?
- ALithium 1.8 mEq/L with a new coarse tremor
- BPhenytoin 15 mcg/mL with no symptoms
- CDigoxin 1.0 ng/mL with a pulse of 72/min
- DValproate 75 mcg/mL with no symptoms
8.むずかしい
アピキサバンを服用している患者が、ワルファリンを服用している隣人のように、定期的な INR 検査が必要ないのはなぜか尋ねています。最もよい説明はどれですか?
- Aアピキサバンは、実際には血液をサラサラにしない
- Bアピキサバンは、代わりに毎日 aPTT でモニタリングされる
- C作用が予測可能なため、定期的な凝固検査は不要である
- DINR は、ほかの定期的な血液検査と一緒に、こっそり調べられている
解答
- 1. D · Hemoglobin electrophoresis
- 2. D · 3.5–5.0 mEq/L
- 3. A · Bacteria in the urine that convert nitrate to nitrite
- 4. B · So a later fall from heparin-induced thrombocytopenia is detected
- 5. D · A normal rise from placental ALP
- 6. D · Absolute neutrophil count
- 7. A · Lithium 1.8 mEq/L with a new coarse tremor
- 8. C · 作用が予測可能なため、定期的な凝固検査は不要である
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