1.쉬움
What is a typical reference range for the prothrombin time (PT) in a person not taking anticoagulants?
- AAbout 2–4 seconds
- BAbout 3–5 minutes
- CAbout 11–13.5 seconds
- DAbout 60–90 seconds
2.쉬움
Which group of symptoms is linked to hypercalcemia ("stones, bones, groans and moans")?
- ATetany, muscle cramps, tingling and seizures
- BKidney stones, bone pain, abdominal pain and confusion
- CHeat intolerance, tremor, weight loss and diarrhea
- DJaundice, itching, pale stools and dark urine
3.쉬움
A low mean corpuscular hemoglobin concentration (MCHC) means that the red cells are:
- AMore numerous than normal
- BShaped like a sickle
- CLarger than normal (macrocytic)
- DPaler than normal (hypochromic)
4.보통
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?
- AAverage glucose over the past months has been above the target
- BThe patient has had frequent episodes of severe hypoglycemia
- CGlucose control has been excellent for the past several months
- DThe result shows today's fasting glucose is above the target
5.보통
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe treatment is suppressing the virus very well
- BThe CD4 count must now be dangerously low too
- CThe virus has been completely cured and removed
- DThe treatment can now be stopped without any risk
6.보통
The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?
- AAbout 6 hours after the change
- BOnly after the infusion is stopped
- CAbout 3 days after the change
- DAbout 30 minutes after the change
7.어려움
아픽사반을 복용하는 환자가 와파린을 복용하는 이웃처럼 왜 정기적인 INR 검사가 필요 없는지 묻습니다. 가장 좋은 설명은 무엇인가요?
- AINR은 다른 정기 혈액 검사와 함께 몰래 확인된다
- B효과가 예측 가능하므로 정기적인 응고 검사가 필요 없다
- C아픽사반은 실제로 피를 묽게 하지 않는다
- D아픽사반은 대신 매일 aPTT로 감시한다
8.어려움
A patient with heavy alcohol use and a poor diet has a hemoglobin of 10.1 g/dL (101 g/L), an MCV of 110 fL and a low red cell folate. Which explanation fits best?
- AFolate deficiency, made worse by a direct alcohol effect
- BAnemia caused by long-standing chronic kidney disease
- CThalassemia trait inherited from one of the parents
- DIron deficiency from slow, chronic bleeding in the gut
정답표
- 1. C · About 11–13.5 seconds
- 2. B · Kidney stones, bone pain, abdominal pain and confusion
- 3. D · Paler than normal (hypochromic)
- 4. A · Average glucose over the past months has been above the target
- 5. A · The treatment is suppressing the virus very well
- 6. A · About 6 hours after the change
- 7. B · 효과가 예측 가능하므로 정기적인 응고 검사가 필요 없다
- 8. A · Folate deficiency, made worse by a direct alcohol effect
자세한 단계별 풀이: examproblems.com에서 이 주제를 연습하세요.