1.やさしい
The sweat chloride test is used to diagnose which condition?
- ACystic fibrosis
- BDiabetes mellitus
- CHypothyroidism
- DSickle cell disease
2.やさしい
Which fasting triglyceride level is commonly described as normal?
- AAbove 500 mg/dL (5.6 mmol/L)
- BBetween 200 and 499 mg/dL (2.3–5.6 mmol/L)
- CBelow 150 mg/dL (1.7 mmol/L)
- DAbove 1,000 mg/dL (11.3 mmol/L)
3.やさしい
What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?
- AAbout 98–106 mEq/L
- BAbout 35–45 mEq/L
- CAbout 8–12 mEq/L
- DAbout 22–28 mEq/L
4.ふつう
高カルシウム血症に合致する所見の組み合わせはどれですか?
- A尖った T 波と筋力低下のみ
- B便秘、疲労、錯乱、腎結石
- Cテタニー、筋肉のこむら返り、陽性のクボステック徴候
- D唯一のサインとしての、非常に薄い尿を伴う口渇
5.ふつう
A patient takes high-dose biotin supplements for hair and nails. Why should the nurse report this before blood tests?
- ABiotin makes the blood clot in the tube before testing
- BBiotin causes a true rise in blood glucose in all patients
- CBiotin lowers the hemoglobin by destroying the red cells
- DBiotin can distort some immunoassays, such as troponin or TSH
6.ふつう
How should a patient collect a clean-catch midstream urine sample?
- ACollect urine from the toilet bowl after voiding into the toilet
- BFill the cup completely, then add tap water if there is not enough
- CCollect the very first urine of the stream directly in the sterile cup
- DClean the area, start voiding into the toilet, then catch the middle part
7.むずかしい
A patient without symptoms has a TSH of 7.5 mIU/L on two occasions with a normal free T4. Which term fits best?
- ASecondary hypothyroidism
- BSubclinical hypothyroidism
- COvert primary hypothyroidism
- DSubclinical hyperthyroidism
8.むずかしい
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
- APersistent bacteremia, as in infective endocarditis
- BA urinary tract infection that has spread to the skin
- CContamination of all three samples during collection
- DA normal finding in patients with heart murmurs
解答
- 1. A · Cystic fibrosis
- 2. C · Below 150 mg/dL (1.7 mmol/L)
- 3. D · About 22–28 mEq/L
- 4. B · 便秘、疲労、錯乱、腎結石
- 5. D · Biotin can distort some immunoassays, such as troponin or TSH
- 6. D · Clean the area, start voiding into the toilet, then catch the middle part
- 7. B · Subclinical hypothyroidism
- 8. A · Persistent bacteremia, as in infective endocarditis
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。