1.쉬움
혈액 요소 질소(BUN)의 전형적인 성인 기준 범위는 얼마인가요?
- A약 70–99 mg/dL (요소 25–35 mmol/L)
- B약 7–20 mg/dL (요소 2.5–7.1 mmol/L)
- C약 135–145 mg/dL (요소 48–52 mmol/L)
- D약 0.6–1.2 mg/dL (요소 0.2–0.4 mmol/L)
2.쉬움
On urinalysis, dark amber urine with a high specific gravity most often suggests:
- AUrine with a large amount of glucose
- BVery dilute urine from high fluid intake
- CConcentrated urine from low fluid intake
- DNormal urine after drinking extra water
3.쉬움
A low mean corpuscular hemoglobin concentration (MCHC) means that the red cells are:
- ALarger than normal (macrocytic)
- BShaped like a sickle
- CPaler than normal (hypochromic)
- DMore numerous than normal
4.보통
A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?
- AIron is being lost through the kidneys during the pregnancy
- BThe fetus is destroying the mother's red cells in the circulation
- CPregnancy hormones stop the bone marrow from making red cells
- DPlasma volume rises more than red cell mass, diluting the blood
5.보통
와파린을 복용하는 환자가 매일 케일과 시금치를 많이 먹기 시작했습니다. INR이 떨어졌습니다. 가장 적절한 조언은 무엇인가요?
- A녹색 채소를 다시는 먹지 않는다
- B처방자에게 알리지 않고 와파린 용량을 두 배로 한다
- C비타민 K가 풍부한 음식의 섭취량을 날마다 일정하게 유지한다
- D식단이 정상으로 돌아올 때까지 와파린을 중단한다
6.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
- BNaloxone hydrochloride
- CVitamin K (phytonadione)
- DAcetylcysteine
7.어려움
Which set of results best shows that diabetic ketoacidosis is resolving?
- AA falling glucose with a falling serum bicarbonate
- BA falling glucose with a still widening anion gap
- CA rising potassium with a falling bicarbonate
- DA closing anion gap with a rising bicarbonate and pH
8.어려움
A patient has taken metformin for 8 years and now has numbness in the feet, a hemoglobin of 10.2 g/dL (102 g/L) and an MCV of 108 fL. Which deficiency is most likely?
- AVitamin B12 deficiency
- BVitamin D (calciferol) deficiency
- CVitamin K deficiency
- DIron deficiency from gut loss
정답표
- 1. B · 약 7–20 mg/dL (요소 2.5–7.1 mmol/L)
- 2. C · Concentrated urine from low fluid intake
- 3. C · Paler than normal (hypochromic)
- 4. D · Plasma volume rises more than red cell mass, diluting the blood
- 5. C · 비타민 K가 풍부한 음식의 섭취량을 날마다 일정하게 유지한다
- 6. C · Vitamin K (phytonadione)
- 7. D · A closing anion gap with a rising bicarbonate and pH
- 8. A · Vitamin B12 deficiency
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