1.쉬움
In the US (NCEP ATP III) classification, which LDL cholesterol level is called optimal for an adult?
- ABelow 100 mg/dL (2.6 mmol/L)
- BAbout 190 mg/dL (4.9 mmol/L) or more
- CAbout 220–260 mg/dL (5.7–6.7 mmol/L)
- DAbout 160–189 mg/dL (4.1–4.9 mmol/L)
2.쉬움
How does active vitamin D (calcitriol) affect calcium?
- AIt moves calcium out of the blood into cells
- BIt increases calcium absorption from the gut
- CIt increases calcium loss in the urine
- DIt blocks calcium absorption from the gut
3.쉬움
저칼륨혈증에 전형적인 심전도 변화는 무엇인가요?
- A높고 뾰족한 T파와 넓은 QRS
- B편평한 T파와 뚜렷한 U파
- C델타파와 짧은 PR 간격
- D이웃한 두 개 이상의 유도에서 ST 상승
4.보통
A patient had a right mastectomy with removal of axillary lymph nodes. Where is the best place to draw blood?
- AEither arm equally
- BThe left arm
- CThe right arm
- DThe right hand
5.보통
How should a blood sample for serum ammonia be handled?
- ALeft at room temperature for several hours first
- BShaken firmly to mix it before it is sent away
- CKept warm and sent with the next routine batch
- DPlaced on ice and sent to the laboratory at once
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 taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10.5 mmol/L), pH 7.15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?
- ARespiratory acidosis from COPD
- BSimple fasting ketosis only
- CHyperosmolar hyperglycemic state
- DEuglycemic diabetic ketoacidosis
8.어려움
신장 문제가 없고 심전도가 정상인 환자의 칼륨이 6.2 mEq/L입니다. 검사실은 검체가 용혈되었다고 알립니다. 가장 좋은 해석은 무엇인가요?
- A결과가 거짓으로 높을 수 있으므로 환자를 사정하고 재검체를 준비한다
- B추가 확인 없이 즉시 인슐린과 포도당으로 치료한다
- C환자는 신부전이다
- D칼륨은 확실히 정상이므로 추적이 필요 없다
정답표
- 1. A · Below 100 mg/dL (2.6 mmol/L)
- 2. B · It increases calcium absorption from the gut
- 3. B · 편평한 T파와 뚜렷한 U파
- 4. B · The left arm
- 5. D · Placed on ice and sent to the laboratory at once
- 6. D · Gently inverting the tubes instead of shaking them
- 7. D · Euglycemic diabetic ketoacidosis
- 8. A · 결과가 거짓으로 높을 수 있으므로 환자를 사정하고 재검체를 준비한다
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