1.やさしい
The sweat chloride test is used to diagnose which condition?
- ADiabetes mellitus
- BCystic fibrosis
- CSickle cell disease
- DHypothyroidism
2.やさしい
Where does most of the ammonia in the blood come from, and which organ removes it?
- AGlucose breakdown in muscle; removed by the pancreas
- BProtein breakdown by gut bacteria; removed by the liver
- CFat breakdown in adipose tissue; removed by the lungs
- DRed cell breakdown in the spleen; removed by the skin
3.やさしい
A raised lymphocyte count is most typical of:
- AIron deficiency
- BViral infections
- CBacterial abscesses
- DAllergic asthma
4.ふつう
A patient with an upper gastrointestinal bleed has a BUN of 48 mg/dL (urea 17 mmol/L) and a normal creatinine. What is the most likely explanation?
- AThe liver has stopped making urea because of the bleeding
- BThe kidneys have suddenly lost most of their function
- CSkeletal muscle is breaking down because of the blood loss
- DDigested blood adds protein, which the liver turns into urea
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急性の細菌感染症
- C慢性のウイルス性疾患のみ
- D正常な結果
6.ふつう
A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?
- AThe color shows severe liver failure is present
- BThe drug improves the accuracy of all dipsticks
- CThe dye can interfere with dipstick color readings
- DThe color proves blood is present in the urine
7.むずかしい
糖尿病性ケトアシドーシスの患者の、インスリン点滴を開始する前のカリウムが 3.0 mEq/L です。看護師は何を予想すべきですか?
- Aカリウムを先に補充し、インスリンは、プロトコルに従って濃度が安全になるまで待つ
- Bただちに、より高い速度でインスリンを開始する
- Cカリウムが正常になるまで、輸液を止める
- Dインスリンがカリウムを上げるので、カリウムは補充しない
8.むずかしい
A patient on warfarin with an INR of 3.6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?
- AEncourage rest in a dark room to settle the pain
- BGive acetaminophen (paracetamol) and recheck the INR tomorrow
- CHold warfarin for one dose and observe at home
- DReport urgently for imaging and possible reversal
解答
- 1. B · Cystic fibrosis
- 2. B · Protein breakdown by gut bacteria; removed by the liver
- 3. B · Viral infections
- 4. D · Digested blood adds protein, which the liver turns into urea
- 5. B · 急性の細菌感染症
- 6. C · The dye can interfere with dipstick color readings
- 7. A · カリウムを先に補充し、インスリンは、プロトコルに従って濃度が安全になるまで待つ
- 8. D · Report urgently for imaging and possible reversal
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