1.쉬움
Using American Diabetes Association (ADA) criteria, which HbA1c range is classed as prediabetes?
- A8.0–9.0% (64–75 mmol/mol)
- B6.5–7.5% (48–58 mmol/mol)
- C4.0–5.6% (20–38 mmol/mol)
- D5.7–6.4% (39–47 mmol/mol)
2.쉬움
In iron-deficiency anemia, the transferrin saturation is usually:
- ALow
- BHigh
- CVariable
- DNormal
3.쉬움
A urine albumin-to-creatinine ratio (ACR) of at least which value is usually called moderately increased albuminuria?
- A30 mg/g (3 mg/mmol)
- B3,000 mg/g (300 mg/mmol)
- C300 mg/dL (3 mg/mL)
- D3 mg/g (0.3 mg/mmol)
4.보통
한 시간 전에 흉통이 시작된 환자의 첫 트로포닌이 정상입니다. 올바른 해석은 무엇인가요?
- A경색이 배제되지 않았으며 프로토콜에 따라 트로포닌을 반복한다
- B환자는 바로 퇴원할 수 있다
- C경색이 배제되었으므로 추가 트로포닌 검사가 필요 없다
- D트로포닌은 흉통 환자에게 유용하지 않다
5.보통
A patient on warfarin has an INR of 7.8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?
- AProtamine sulfate
- BVitamin K (phytonadione)
- CAcetylcysteine
- DNaloxone hydrochloride
6.보통
When should the nurse check the glucose before giving a mealtime dose of rapid-acting insulin (such as lispro)?
- AAt bedtime only, then giving the mealtime insulin overnight
- BTwo hours after the meal, then giving the insulin dose
- CJust before the meal, giving insulin when the food is ready
- DOnly once a day, then giving the same dose before every meal
7.어려움
A patient who had pituitary surgery has fatigue and cold intolerance. The free T4 is low and the TSH is low. What does this pattern suggest?
- AHyperthyroidism from overactivity of the thyroid gland
- BSecondary (central) hypothyroidism from pituitary failure
- CNormal thyroid function with a laboratory error in T4
- DPrimary hypothyroidism from failure of the thyroid gland
8.어려움
A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?
- AAcute infection, treated with broad-spectrum antibiotics
- BLiver failure, treated with a liver transplant at once
- CIron overload, treated with iron chelation therapy
- DIron deficiency, treated with IV iron supplements
정답표
- 1. D · 5.7–6.4% (39–47 mmol/mol)
- 2. A · Low
- 3. A · 30 mg/g (3 mg/mmol)
- 4. A · 경색이 배제되지 않았으며 프로토콜에 따라 트로포닌을 반복한다
- 5. B · Vitamin K (phytonadione)
- 6. C · Just before the meal, giving insulin when the food is ready
- 7. B · Secondary (central) hypothyroidism from pituitary failure
- 8. C · Iron overload, treated with iron chelation therapy
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