1.やさしい
低カリウム血症に典型的な心電図の変化はどれですか?
- A隣接する 2 つ以上の誘導での ST 上昇
- B尖って高い T 波と幅広い QRS
- C平坦な T 波と目立つ U 波
- Dデルタ波と短い PR 間隔
2.やさしい
抗凝固薬を服用していない人の INR は、通常、約どれくらいですか?
- A3.5–4.5
- B0.8–1.2
- C2.0–3.0
- D5.0–6.0
3.やさしい
What does a raised erythrocyte sedimentation rate (ESR) show?
- AInflammation somewhere in the body, without showing where
- BA low level of iron stored in the bone marrow
- CA specific infection of the urinary tract by bacteria
- DDamage to heart muscle within the past few hours
4.ふつう
A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?
- ASerum amylase level
- BUrine ketone level
- CSerum lithium level
- DComplete blood count
5.ふつう
A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?
- AStart an iron supplement only
- BNo action if there are no symptoms
- CRepeat the test in 10 years
- DReferral for colonoscopy
6.ふつう
ヘパリンを点滴中の患者の aPTT が 110 秒です。プロトコルの目標は、対照 30 秒の 1.5~2.5 倍です。看護師はどうすべきですか?
- A処方に従ってビタミン K を投与し、点滴を続ける
- Bヘパリンのプロトコルに従い、出血を確認して、医療者に知らせる
- C変更せずに続け、翌朝に aPTT を再検査する
- D結果が目標範囲より上なので、点滴速度を上げる
7.むずかしい
The nurse teaches a patient with chronic kidney disease about a potassium-restricted diet. Which statement shows a need for further teaching?
- A"I'll limit bananas, oranges and potatoes in my meals"
- B"I can leach potatoes by soaking them before cooking them"
- C"I'll check food labels and ask my dietitian about portion sizes"
- D"Dried apricots and raisins will be a good snack for me now"
8.むずかしい
A patient's low calcium does not improve despite several days of calcium replacement. Which other electrolyte should be checked and corrected?
- AMagnesium
- BSodium
- CBicarbonate
- DChloride
解答
- 1. C · 平坦な T 波と目立つ U 波
- 2. B · 0.8–1.2
- 3. A · Inflammation somewhere in the body, without showing where
- 4. D · Complete blood count
- 5. D · Referral for colonoscopy
- 6. B · ヘパリンのプロトコルに従い、出血を確認して、医療者に知らせる
- 7. D · "Dried apricots and raisins will be a good snack for me now"
- 8. A · Magnesium
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