1.쉬움
Uric acid in the blood is a breakdown product of:
- AHemoglobin
- BFats
- CPurines
- DGlucose
2.쉬움
Which blood marker is the most specific for injury to the heart muscle?
- ATotal creatine kinase
- BSerum myoglobin
- CLactate dehydrogenase
- DCardiac troponin
3.쉬움
백혈구 수의 전형적인 성인 기준 범위는 얼마인가요?
- A약 4.5–11 × 10³/µL (4.5–11 × 10⁹/L)
- B약 0.5–1.0 × 10³/µL (0.5–1.0 × 10⁹/L)
- C약 150–400 × 10³/µL (150–400 × 10⁹/L)
- D약 25–40 × 10³/µL (25–40 × 10⁹/L)
4.보통
패혈증이 의심되는 환자의 혈액 배양은 언제 채취해야 하나요?
- A첫 항생제 투여 전에, 투여를 크게 지연시키지 않으면서
- B열이 3일 넘게 지속될 때만
- C항생제를 세 번 투여한 뒤
- D항생제는 결과에 영향을 주지 않으므로 아무 때나
5.보통
A patient had a total thyroidectomy yesterday. Which laboratory value is most important to monitor in the first days after surgery?
- ASerum sodium
- BSerum calcium
- CSerum potassium
- DSerum glucose
6.보통
Which blood collection practice helps prevent hemolysis of the sample?
- AUsing the smallest needle available for every patient
- BLeaving the tourniquet on for at least 3 minutes
- CForcing blood quickly through a needle into the tube
- DGently inverting the tubes instead of shaking them
7.어려움
A patient with advanced chronic kidney disease has a mildly raised troponin that has stayed the same on several tests over months. There is no chest pain and the ECG is unchanged. What is the best interpretation?
- AA chronic stable rise; infarction needs a rising or falling pattern
- BA laboratory error, because troponin is never raised in kidney disease
- CProof of an acute myocardial infarction that needs emergency treatment now
- DA sign of skeletal muscle injury, because troponin comes from all muscles
8.어려움
A patient's potassium is 7.2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?
- AIV furosemide (a loop diuretic)
- BIV calcium gluconate (or chloride)
- CAn oral potassium binder dose
- DUrgent hemodialysis session
정답표
- 1. C · Purines
- 2. D · Cardiac troponin
- 3. A · 약 4.5–11 × 10³/µL (4.5–11 × 10⁹/L)
- 4. A · 첫 항생제 투여 전에, 투여를 크게 지연시키지 않으면서
- 5. B · Serum calcium
- 6. D · Gently inverting the tubes instead of shaking them
- 7. A · A chronic stable rise; infarction needs a rising or falling pattern
- 8. B · IV calcium gluconate (or chloride)
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