1.쉬움
혈청 칼륨의 전형적인 성인 기준 범위는 얼마인가요?
- A1.3–2.1 mEq/L
- B6.0–8.0 mEq/L
- C3.5–5.0 mEq/L
- D135–145 mEq/L
2.쉬움
A patient has a hemoglobin of 19.5 g/dL (195 g/L) and a hematocrit of 58%. Which term describes this?
- APolycythemia (erythrocytosis)
- BThrombocytopenia (low platelets)
- CPancytopenia (all cells low)
- DIron-deficiency anemia
3.쉬움
혈청 나트륨의 전형적인 성인 기준 범위는 얼마인가요?
- A135–145 mEq/L
- B150–165 mEq/L
- C3.5–5.0 mEq/L
- D95–105 mEq/L
4.보통
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
- ANormal TSH with a low free T4
- BLow TSH with a high free T4
- CHigh TSH with a normal free T4
- DHigh TSH with a low free T4
5.보통
A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?
- AUncontrolled diabetes needing insulin
- BAn expected effect of the drug
- CA sign of kidney failure
- DA urinary tract infection
6.보통
A stool test for Clostridioides difficile is ordered. Which sample is appropriate?
- AAn unformed (liquid or soft) stool
- BA formed, hard stool sample
- CAny stool after a laxative dose
- DA rectal swab from a patient with constipation
7.어려움
환자가 24시간 전에 아세트아미노펜(파라세타몰)을 다량 과다 복용했습니다. 가장 예상되는 검사 변화는 무엇인가요?
- A정상 ALT와 함께 높은 트로포닌
- B매우 높은 ALT와 AST, 상승하는 INR
- C정상 간 기능 검사와 함께 낮은 백혈구 수
- D낮은 ALT와 AST, 낮은 INR
8.어려움
A patient with diabetes and chronic kidney disease had a CT scan with IV contrast. Two days later, the creatinine has risen from 1.4 to 2.0 mg/dL (124 to 177 µmol/L). Which action is most appropriate?
- ARestrict all fluids to protect the kidneys from more contrast
- BReport it, monitor urine output and hold metformin until reviewed
- CGive extra metformin, because the glucose rises after contrast
- DIgnore it, because contrast never affects kidney function
정답표
- 1. C · 3.5–5.0 mEq/L
- 2. A · Polycythemia (erythrocytosis)
- 3. A · 135–145 mEq/L
- 4. B · Low TSH with a high free T4
- 5. B · An expected effect of the drug
- 6. A · An unformed (liquid or soft) stool
- 7. B · 매우 높은 ALT와 AST, 상승하는 INR
- 8. B · Report it, monitor urine output and hold metformin until reviewed
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