1.やさしい
What is a "critical value" (panic value) in laboratory reporting?
- AA result that is normal but differs from the patient's last value
- BA result so abnormal that it may threaten life and needs prompt action
- CAny result that is slightly outside the laboratory reference range
- DA result that the laboratory could not measure because of a bad sample
2.やさしい
Which body system shows the main symptoms of a low serum sodium?
- AThe eyes only
- BThe nervous system
- CThe skeleton
- DThe skin and hair
3.やさしい
甲状腺機能のスクリーニングに通常、最初に用いられる血液検査はどれですか?
- Aヘモグロビン A1c(HbA1c)
- B甲状腺刺激ホルモン(TSH)
- C血清カルシウム
- D血清コルチゾール
4.ふつう
Which instruction is correct for a patient taking an oral potassium chloride supplement?
- ATake it with food and a full glass of water, and do not crush extended-release tablets
- BTake it on an empty stomach with only a small sip of water to speed absorption
- CCrush the extended-release tablets and mix them with a little water if needed
- DUse a salt substitute as well, so less of the tablet is needed each day
5.ふつう
A patient with joint aches has a positive antinuclear antibody (ANA) test. Which statement is correct?
- AA positive ANA supports lupus but does not diagnose it alone
- BA positive ANA means the patient has a viral infection
- CA positive ANA proves the patient has rheumatoid arthritis
- DA positive ANA rules out all other autoimmune diseases
6.ふつう
A patient on levothyroxine has palpitations, weight loss and a TSH of 0.05 mIU/L. What is the most likely explanation?
- AThe patient has stopped the drug
- BThe thyroid is now completely normal
- CThe levothyroxine dose is too low
- DThe levothyroxine dose is too high
7.むずかしい
A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2.3 without warfarin, and the platelets are normal. What is the most likely cause?
- AVitamin K deficiency
- BIron-deficiency anemia
- CImmune thrombocytopenia
- DHemophilia A
8.むずかしい
A patient with severe hypertriglyceridemia has a measured sodium of 128 mEq/L, but a measured serum osmolality is normal, and the patient has no symptoms. What is the most likely explanation?
- AHyponatremia caused by drinking far too much water
- BTrue hyponatremia from SIADH that needs fluid restriction
- CHyponatremia caused by severe hyperglycemia in diabetes
- DPseudohyponatremia, an artifact caused by very high lipids
解答
- 1. B · A result so abnormal that it may threaten life and needs prompt action
- 2. B · The nervous system
- 3. B · 甲状腺刺激ホルモン(TSH)
- 4. A · Take it with food and a full glass of water, and do not crush extended-release tablets
- 5. A · A positive ANA supports lupus but does not diagnose it alone
- 6. D · The levothyroxine dose is too high
- 7. A · Vitamin K deficiency
- 8. D · Pseudohyponatremia, an artifact caused by very high lipids
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