1.쉬움
Which liver test is especially sensitive to heavy alcohol use?
- ASerum lipase (pancreatic enzyme)
- BSerum creatinine and BUN
- CCardiac troponin I or T
- DGamma-glutamyl transferase (GGT)
2.쉬움
What is the main effect of antidiuretic hormone (ADH) on the kidneys?
- AMore water is reabsorbed, so urine is concentrated
- BMore potassium is reabsorbed, so the serum potassium rises
- CMore glucose is excreted, so the urine contains sugar
- DMore water is excreted, so the urine becomes dilute
3.쉬움
Which blood test is the usual measure of a person's vitamin D status?
- ASerum phosphate
- B1,25-dihydroxyvitamin D
- C25-hydroxyvitamin D
- DParathyroid hormone
4.보통
A patient taking furosemide has a potassium of 3.3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?
- AWhite bread
- BRice cakes
- CDried apricots
- DPlain crackers
5.보통
A patient on warfarin for atrial fibrillation has a target INR of 2.0–3.0. How does the usual target for a patient with a mechanical mitral valve compare?
- AThe same, 2.0–3.0
- BLower, about 1.0–1.5
- CHigher, about 2.5–3.5
- DMuch higher, about 5.0–6.0
6.보통
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.어려움
심한 구토를 하는 환자의 칼륨이 3.0 mEq/L, 염소가 88 mEq/L이고 중탄산염이 높습니다. 이는 어떤 양상을 보여 주나요?
- A추적이 필요 없는 정상 결과
- B탈수로 인한 높은 칼륨과 대사성 산증
- C높은 음이온 차를 동반한 당뇨병성 케톤산증
- D위산 손실. 낮은 칼륨과 염소, 대사성 알칼리증
8.어려움
A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2.1 mg/dL (186 µmol/L). What does this indicate?
- AUnrelated chronic kidney disease
- BSevere C. difficile infection
- CSuccessful response to treatment
- DMild infection needing no treatment
정답표
- 1. D · Gamma-glutamyl transferase (GGT)
- 2. A · More water is reabsorbed, so urine is concentrated
- 3. C · 25-hydroxyvitamin D
- 4. C · Dried apricots
- 5. C · Higher, about 2.5–3.5
- 6. B · The result may be falsely high and should be repeated with better technique
- 7. D · 위산 손실. 낮은 칼륨과 염소, 대사성 알칼리증
- 8. B · Severe C. difficile infection
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