1.쉬움
Which antibody test is most specific for rheumatoid arthritis?
- AAnti-HBs antibody
- BAnti-D antibody
- CAnti-CCP antibodies
- DAntinuclear antibody
2.쉬움
What is the typical range of urine pH?
- AAbout 9.0–11.0
- BAbout 7.35–7.45
- CAbout 1.0–2.0
- DAbout 4.5–8.0
3.쉬움
Which sample is commonly used to screen a patient for MRSA carriage on admission?
- AA blood culture from one arm
- BA clean-catch midstream urine sample
- CA sample of stool sent for culture
- DA swab from the front of the nose
4.보통
Why is a baseline platelet count taken before starting heparin therapy?
- ABecause heparin is given at a dose based on the platelet count
- BBecause heparin increases the platelet count to dangerous levels
- CSo that the INR can be calculated from the platelet count later
- DSo a later fall from heparin-induced thrombocytopenia is detected
5.보통
A patient has taken a proton pump inhibitor (such as omeprazole) for many years and now has muscle cramps and tremor. Which electrolyte is most likely to be low?
- APhosphate
- BMagnesium
- CSodium
- DChloride
6.보통
A patient with chronic kidney disease receives an erythropoiesis-stimulating agent such as epoetin alfa. Which assessments are most important?
- ASerum amylase and lipase
- BHemoglobin and blood pressure
- CLiver enzymes and bilirubin
- DSerum glucose and ketones
7.어려움
A patient has a continuous heparin infusion for a pulmonary embolism. A new nurse plans to adjust the infusion using today's INR of 1.1. What should the experienced nurse explain?
- AHeparin needs no laboratory monitoring once the infusion is started
- BThe INR of 1.1 means the heparin rate must be doubled at once
- CHeparin is adjusted using the aPTT or anti-Xa level, not the INR
- DThe INR is the correct test, and 1.1 means heparin is therapeutic
8.어려움
새로운 심부정맥혈전증 환자가 헤파린을 주입 중이고 와파린이 막 시작되었습니다. 헤파린을 며칠간 계속하는 이유는 무엇인가요?
- A와파린이 완전한 항응고 효과에 이르기까지 며칠이 걸린다
- B와파린은 헤파린을 동시에 줄 때만 작용한다
- C헤파린이 장에서 와파린의 흡수를 늘린다
- D헤파린이 와파린의 부작용을 막는다
정답표
- 1. C · Anti-CCP antibodies
- 2. D · About 4.5–8.0
- 3. D · A swab from the front of the nose
- 4. D · So a later fall from heparin-induced thrombocytopenia is detected
- 5. B · Magnesium
- 6. B · Hemoglobin and blood pressure
- 7. C · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
- 8. A · 와파린이 완전한 항응고 효과에 이르기까지 며칠이 걸린다
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