1.쉬움
Which liver test is especially sensitive to heavy alcohol use?
- ASerum creatinine and BUN
- BSerum lipase (pancreatic enzyme)
- CCardiac troponin I or T
- DGamma-glutamyl transferase (GGT)
2.쉬움
혈청 크레아티닌의 전형적인 성인 기준 범위는 얼마인가요?
- A약 135–145 mg/dL
- B약 10–20 mg/dL
- C약 0.6–1.2 mg/dL
- D약 3.5–5.0 mg/dL
3.쉬움
Where are urinary casts formed?
- AIn the kidney tubules
- BIn the urinary bladder
- CIn the urethra
- DIn the ureters
4.보통
A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?
- AA urinary tract infection
- BAn expected effect of the drug
- CUncontrolled diabetes needing insulin
- DA sign of kidney failure
5.보통
페니토인을 복용하는 환자의 농도가 28 mcg/mL입니다(일반 범위 약 10–20 mcg/mL). 간호사가 예상하는 소견은 무엇인가요?
- A배고픔과 체중 증가
- B안구진탕, 불안정한 걸음걸이, 어눌한 말투
- C높고 뾰족한 T파
- D과활동 행동과 불면만
6.보통
혈청 알부민이 낮은 환자에서 낮은 총 칼슘을 주의해서 해석해야 하는 이유는 무엇인가요?
- A낮은 알부민은 모든 칼슘 검사를 부정확하고 쓸모없게 만든다
- B낮은 알부민은 항상 실제로 증상이 있는 저칼슘혈증을 일으킨다
- C알부민과 칼슘은 같은 화학 반응으로 측정되므로 항상 함께 떨어진다
- D칼슘의 상당 부분이 알부민에 결합해 있어 이온화 칼슘이 정상이어도 총 칼슘이 떨어진다
7.어려움
A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?
- APersistent bacteremia, as in infective endocarditis
- BContamination of all three samples during collection
- CA urinary tract infection that has spread to the skin
- DA normal finding in patients with heart murmurs
8.어려움
A patient on a stable dose of levothyroxine now has a TSH of 9.8 mIU/L. She recently started taking her calcium and iron supplements with her morning levothyroxine. What is the most likely explanation?
- AThe TSH is low, showing that the dose is now too high
- BThe supplements are reducing levothyroxine absorption
- CThe result is normal for a person on levothyroxine therapy
- DThe supplements are causing an overactive thyroid gland
정답표
- 1. D · Gamma-glutamyl transferase (GGT)
- 2. C · 약 0.6–1.2 mg/dL
- 3. A · In the kidney tubules
- 4. B · An expected effect of the drug
- 5. B · 안구진탕, 불안정한 걸음걸이, 어눌한 말투
- 6. D · 칼슘의 상당 부분이 알부민에 결합해 있어 이온화 칼슘이 정상이어도 총 칼슘이 떨어진다
- 7. A · Persistent bacteremia, as in infective endocarditis
- 8. B · The supplements are reducing levothyroxine absorption
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