1.やさしい
耳の前で顔面神経を叩くと、口の端がぴくっと動きます。この徴候は何と呼ばれ、何を示唆しますか?
- Aバビンスキー徴候で、低ナトリウムを示唆する
- Bトルソー徴候で、高カルシウムを示唆する
- Cクボステック徴候で、低カルシウムを示唆する
- Dホーマンズ徴候で、高カリウムを示唆する
2.やさしい
Where is urea, measured as blood urea nitrogen (BUN), made?
- AIn the kidneys, from the breakdown of glucose
- BIn the muscles, from the breakdown of creatine
- CIn the bone marrow, from old red blood cells
- DIn the liver, from the breakdown of protein
3.やさしい
What does the term "left shift" mean on a white cell differential?
- AMore immature neutrophils (bands) than normal
- BA rise in the number of eosinophils
- CMore lymphocytes than neutrophils in the blood
- DA fall in all the white cell types together
4.ふつう
A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?
- ASerum lipase
- BCreatine kinase (CK)
- CSerum ammonia
- DCardiac troponin
5.ふつう
患者の白血球数が 16 × 10³/µL で、未熟な好中球(桿状核球)の割合が高いです。これは何を最も強く示唆しますか?
- A鉄欠乏性貧血
- B慢性のウイルス性疾患のみ
- C急性の細菌感染症
- D正常な結果
6.ふつう
Why is a baseline platelet count taken before starting heparin therapy?
- ABecause heparin increases the platelet count to dangerous levels
- BSo that the INR can be calculated from the platelet count later
- CSo a later fall from heparin-induced thrombocytopenia is detected
- DBecause heparin is given at a dose based on the platelet count
7.むずかしい
Which cerebrospinal fluid (CSF) pattern most strongly suggests bacterial meningitis?
- ACloudy fluid, low glucose, high protein, many neutrophils
- BClear fluid, normal glucose, normal protein, no white cells
- CClear fluid, high glucose, low protein, many red cells
- DClear fluid, normal glucose, mildly raised protein, lymphocytes
8.むずかしい
The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?
- A"A lower result means less risk of damage to my eyes and kidneys"
- B"My daily finger-stick readings still matter between the tests"
- C"The test shows my average glucose over the past few months"
- D"I must not eat anything for 12 hours before the HbA1c test"
解答
- 1. C · クボステック徴候で、低カルシウムを示唆する
- 2. D · In the liver, from the breakdown of protein
- 3. A · More immature neutrophils (bands) than normal
- 4. B · Creatine kinase (CK)
- 5. C · 急性の細菌感染症
- 6. C · So a later fall from heparin-induced thrombocytopenia is detected
- 7. A · Cloudy fluid, low glucose, high protein, many neutrophils
- 8. D · "I must not eat anything for 12 hours before the HbA1c test"
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