1.やさしい
What is a typical adult reference range for thyroid-stimulating hormone (TSH)?
- AAbout 0.4–4.0 mIU/L
- BAbout 10–20 mIU/L
- CAbout 40–80 mIU/L
- DAbout 0.01–0.04 mIU/L
2.やさしい
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- AEats a normal meal, and glucose is checked once later that evening
- BReceives an insulin injection, and glucose is checked each hour
- CFasts for 3 days, and glucose is checked every morning before breakfast
- DDrinks a measured glucose solution, and glucose is checked 2 hours later
3.やさしい
In iron-deficiency anemia, the transferrin saturation is usually:
- AHigh
- BVariable
- CLow
- DNormal
4.ふつう
患者のナトリウムが 124 mEq/L で、頭痛と新たな錯乱があります。最も適切な看護はどれですか?
- A処方されたチアジド系利尿薬の次回分を早めに投与する
- Bけいれん対策を行い、神経学的状態をモニタリングする
- C普通の水をたっぷり飲むよう勧める
- D患者を平らに寝かせ、神経学的な確認を勤務につき 1 回に制限する
5.ふつう
A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?
- AA fall in serum calcium
- BA rise in serum potassium
- CA fall in blood glucose
- DA rise in serum uric acid
6.ふつう
A woman with hyperemesis gravidarum has vomited for 3 days. Which urine finding would the nurse expect?
- ARed cell casts
- BBilirubin
- CKetones
- DNitrites
7.むずかしい
A patient with right upper abdominal pain from gallstones now has jaundice, a total bilirubin of 4.8 mg/dL (82 µmol/L) and a raised ALP. What is the most likely cause?
- AUncomplicated gallbladder inflammation
- BA stone blocking the common bile duct
- CHemolysis caused by the gallstones
- DGilbert syndrome triggered by pain
8.むずかしい
鉄欠乏性貧血に最も典型的な結果の組み合わせはどれですか?
- A高ヘモグロビンと高ヘマトクリット
- Bヘモグロビンは正常で、血小板数のみ高い
- Cヘモグロビンの低下、小さな赤血球(低 MCV)、低フェリチン
- Dヘモグロビンの低下、大きな赤血球(高 MCV)、高フェリチン
解答
- 1. A · About 0.4–4.0 mIU/L
- 2. D · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 3. C · Low
- 4. B · けいれん対策を行い、神経学的状態をモニタリングする
- 5. D · A rise in serum uric acid
- 6. C · Ketones
- 7. B · A stone blocking the common bile duct
- 8. C · ヘモグロビンの低下、小さな赤血球(低 MCV)、低フェリチン
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