1.やさしい
Which drug is routinely monitored with blood levels because of its narrow therapeutic range?
- ALoratadine
- BOmeprazole
- CLithium
- DAmoxicillin
2.やさしい
Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?
- AJaundice, itching, pale stools and dark urine
- BKidney stones, bone pain, abdominal pain and confusion
- CTetany, muscle cramps, tingling and seizures
- DHeat intolerance, tremor, weight loss and diarrhea
3.やさしい
The prostate-specific antigen (PSA) test is used mainly in relation to which organ?
- AProstate gland
- BPancreas
- CPituitary gland
- DThyroid gland
4.ふつう
A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?
- AThe dye can interfere with dipstick color readings
- BThe color proves blood is present in the urine
- CThe color shows severe liver failure is present
- DThe drug improves the accuracy of all dipsticks
5.ふつう
In the US, when is a pregnant woman without known risk factors usually screened for gestational diabetes?
- AAt about 38–40 weeks of pregnancy
- BAt about 6–8 weeks of pregnancy
- CAt about 24–28 weeks of pregnancy
- DOnly after the baby is born
6.ふつう
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
- AThe patient is injecting too much insulin and needs a lower dose
- BThe pancreas is making very little insulin, as in type 1 diabetes
- CThe patient has high insulin resistance, as in type 2 diabetes
- DThe kidneys are excreting all of the patient's insulin in urine
7.むずかしい
A patient has sudden episodes of severe headache, sweating, palpitations and very high blood pressure. Which test is most useful to look for the cause?
- ASerum calcium only
- BSerum TSH and free T4
- CPlasma free metanephrines
- DFasting lipid profile
8.むずかしい
A patient on hemodialysis receives epoetin, but the hemoglobin has not risen in 2 months. Which results should be checked first?
- ATSH and the free T3 level
- BAmylase and lipase levels
- CFerritin and transferrin saturation
- DTroponin and creatine kinase
解答
- 1. C · Lithium
- 2. B · Kidney stones, bone pain, abdominal pain and confusion
- 3. A · Prostate gland
- 4. A · The dye can interfere with dipstick color readings
- 5. C · At about 24–28 weeks of pregnancy
- 6. B · The pancreas is making very little insulin, as in type 1 diabetes
- 7. C · Plasma free metanephrines
- 8. C · Ferritin and transferrin saturation
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