1.やさしい
血清ジゴキシンの治療域として一般に挙げられる範囲はどれですか?
- A約 20–40 ng/mL
- B約 0.5–2.0 ng/mL
- C約 10–20 ng/mL
- D約 0.05–0.2 ng/mL
2.やさしい
Which condition commonly causes a high serum potassium?
- ALoop diuretic use
- BKidney failure
- CRepeated vomiting
- DSevere diarrhea
3.やさしい
What is a typical adult reference range for serum chloride?
- AAbout 22–28 mEq/L
- BAbout 3.5–5.0 mEq/L
- CAbout 135–145 mEq/L
- DAbout 98–106 mEq/L
4.ふつう
For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?
- AAbout 60–80 mg/dL (3.3–4.4 mmol/L)
- BAbout 300–350 mg/dL (16.7–19.4 mmol/L)
- CAbout 140–180 mg/dL (7.8–10 mmol/L)
- DAbout 250–300 mg/dL (13.9–16.7 mmol/L)
5.ふつう
A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7.8% (62 mmol/mol). What is the best interpretation?
- AGlucose control has been excellent for the past several months
- BThe patient has had frequent episodes of severe hypoglycemia
- CThe result shows today's fasting glucose is above the target
- DAverage glucose over the past months has been above the target
6.ふつう
After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?
- APossible recurrence that needs further assessment
- BA sure sign that the cancer has been fully cured
- CA sign of iron deficiency from the earlier bleeding
- DA normal change after surgery that needs no follow-up
7.むずかしい
An older adult has bone pain, fatigue and frequent infections. Results show anemia, a calcium of 12.4 mg/dL (3.1 mmol/L), a raised total protein and a rising creatinine. Which condition should be suspected?
- AIron-deficiency anemia
- BMultiple myeloma
- CAcute viral hepatitis
- DPrimary hypothyroidism
8.むずかしい
慢性腎臓病の患者のリン酸が 7.2 mg/dL(2.3 mmol/L)です。最も適切な食事指導はどれですか?
- A水分補給のために、コーラ系の清涼飲料水を多く飲む
- B吸着薬の代わりに、空腹時にカルシウム補充薬を服用する
- C加工食品やコーラなど、リンを多く含む食品を制限する
- Dカルシウムの喪失から骨を守るために、牛乳とチーズを増やす
解答
- 1. B · 約 0.5–2.0 ng/mL
- 2. B · Kidney failure
- 3. D · About 98–106 mEq/L
- 4. C · About 140–180 mg/dL (7.8–10 mmol/L)
- 5. D · Average glucose over the past months has been above the target
- 6. A · Possible recurrence that needs further assessment
- 7. B · Multiple myeloma
- 8. C · 加工食品やコーラなど、リンを多く含む食品を制限する
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。