1.やさしい
抗凝固薬を服用していない人の INR は、通常、約どれくらいですか?
- A0.8–1.2
- B3.5–4.5
- C2.0–3.0
- D5.0–6.0
2.やさしい
尿比重 1.035 は、何を最も強く示唆しますか?
- Aすべての患者にとって正常な尿
- B尿崩症のときのような、非常に薄い尿
- C脱水のときのような、濃縮した尿
- D尿路感染症
3.やさしい
Which condition commonly causes a high serum potassium?
- ARepeated vomiting
- BLoop diuretic use
- CKidney failure
- DSevere diarrhea
4.ふつう
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
- AAfter about 1 year
- BAfter about 24 hours
- CAfter about 6–8 weeks
- DAfter about 3 days
5.ふつう
重度の肝疾患と羽ばたき振戦のある患者の錯乱の原因を、最もよく反映する検査値はどれですか?
- A血清カリウムの低下のみ
- B血清リパーゼの低下
- Cトロポニンの上昇
- D血清アンモニアの上昇
6.ふつう
A patient's potassium is unexpectedly 5.8 mEq/L. The sample was taken after the tourniquet was on for several minutes while the patient pumped their fist. What is the best interpretation?
- AFist pumping lowers potassium, so the true level is even higher
- BThe result may be falsely high and should be repeated with better technique
- CThe result confirms true hyperkalemia and needs no further checking
- DTourniquet time affects only the glucose result, not the potassium
7.むずかしい
A patient receiving chemotherapy has a white cell count of 1.8 × 10³/µL with 20% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?
- A1,800/µL
- B360/µL
- C4,500/µL
- D450/µL
8.むずかしい
A patient on digoxin has a calcium of 12.1 mg/dL (3.0 mmol/L) and new nausea and a slow pulse. Why is the calcium result important?
- AHigh calcium only matters if the potassium is also high
- BHigh calcium increases the risk of digoxin toxicity
- CHigh calcium blocks digoxin, so the drug stops working
- DHigh calcium makes the kidneys clear digoxin faster
解答
- 1. A · 0.8–1.2
- 2. C · 脱水のときのような、濃縮した尿
- 3. C · Kidney failure
- 4. C · After about 6–8 weeks
- 5. D · 血清アンモニアの上昇
- 6. B · The result may be falsely high and should be repeated with better technique
- 7. D · 450/µL
- 8. B · High calcium increases the risk of digoxin toxicity
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