1.やさしい
What is the usual BUN-to-creatinine ratio in a healthy adult (using mg/dL)?
- AAbout 50:1 to 60:1
- BAbout 100:1 to 200:1
- CAbout 10:1 to 20:1
- DAbout 1:1 to 2:1
2.やさしい
主に肝細胞が傷害されたときに上昇する肝臓の検査はどれですか?
- A血中尿素窒素(BUN)
- Bクレアチンキナーゼ(CK)
- Cヘモグロビン A1c(HbA1c)
- DALT(アラニンアミノトランスフェラーゼ)
3.やさしい
Which blood test is the usual measure of a person's vitamin D status?
- A1,25-dihydroxyvitamin D
- B25-hydroxyvitamin D
- CSerum phosphate
- DParathyroid hormone
4.ふつう
慢性腎臓病の患者は、酢酸カルシウムやセベラマーなどのリン吸着薬をいつ服用すべきですか?
- A気分が悪いときだけ
- B食事とともに
- C空腹時の就寝前
- D週に 1 回だけ
5.ふつう
A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?
- AThe antibiotic is causing liver damage
- BThe patient has developed a new infection
- CThe infection has spread to another organ
- DThe inflammation is settling with treatment
6.ふつう
バンコマイシンのトラフ値が目標範囲を超えています。主な懸念となる有害作用はどれですか?
- A腎障害(腎毒性)
- B便秘と腹部膨満
- C血小板数の増加(血小板増多症)
- D低血糖
7.むずかしい
A patient with ongoing hemolytic anemia has an HbA1c of 4.6%, but home glucose readings are often 180–220 mg/dL (10–12 mmol/L). What best explains the gap?
- AShort red cell life span lowers the HbA1c falsely
- BThe patient has true, well-controlled diabetes
- CThe home glucose meter is reading falsely high
- DHemolysis makes the HbA1c test read too high
8.むずかしい
The nurse teaches a patient with severe neutropenia after chemotherapy. Which statement shows a need for further teaching?
- A"I'll avoid people who have a cold or the flu"
- B"I'll wash my hands before eating and after the toilet"
- C"I'll check my temperature rectally to be accurate"
- D"I'll call the clinic if my temperature rises"
解答
- 1. C · About 10:1 to 20:1
- 2. D · ALT(アラニンアミノトランスフェラーゼ)
- 3. B · 25-hydroxyvitamin D
- 4. B · 食事とともに
- 5. D · The inflammation is settling with treatment
- 6. A · 腎障害(腎毒性)
- 7. A · Short red cell life span lowers the HbA1c falsely
- 8. C · "I'll check my temperature rectally to be accurate"
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