1.쉬움
호흡곤란 환자에서 B형 나트륨이뇨펩티드(BNP) 상승이 가장 강하게 뒷받침하는 질환은 무엇인가요?
- A폐렴
- B공황 발작
- C심부전
- D천식 발작
2.쉬움
세포 안 체액의 주된 양이온은 무엇인가요?
- A칼륨
- B나트륨
- C칼슘
- D염화물
3.쉬움
What is a typical adult reference range for thyroid-stimulating hormone (TSH)?
- AAbout 10–20 mIU/L
- BAbout 0.01–0.04 mIU/L
- CAbout 40–80 mIU/L
- DAbout 0.4–4.0 mIU/L
4.보통
An older adult with chronic kidney disease takes glyburide (glibenclamide, a sulfonylurea) and has repeated low glucose readings. Why is this a concern?
- AThe drug stops working entirely when the kidneys fail
- BThe drug and its metabolites build up and cause long lows
- CThe drug makes the glucose meter read falsely low
- DThe drug causes high potassium that lowers the glucose
5.보통
A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?
- ADisconnect the catheter from the tubing and let it drain
- BRemove the catheter and culture the catheter tip
- CPour urine from the drainage bag into a sterile cup
- DAspirate from the sampling port with a sterile syringe
6.보통
Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?
- ATroponin and creatine kinase (CK)
- BINR and the platelet count
- CKidney function and thyroid function
- DLiver enzymes and serum amylase
7.어려움
심한 구토를 하는 환자의 칼륨이 3.0 mEq/L, 염소가 88 mEq/L이고 중탄산염이 높습니다. 이는 어떤 양상을 보여 주나요?
- A위산 손실. 낮은 칼륨과 염소, 대사성 알칼리증
- B탈수로 인한 높은 칼륨과 대사성 산증
- C추적이 필요 없는 정상 결과
- D높은 음이온 차를 동반한 당뇨병성 케톤산증
8.어려움
A patient has fatigue, weight loss, darkening of the skin and low blood pressure. Results: sodium 130 mEq/L, potassium 5.6 mEq/L. Which test pattern would confirm primary adrenal insufficiency (Addison disease)?
- ALow cortisol with a high ACTH
- BLow cortisol with a low ACTH
- CHigh cortisol with a low ACTH
- DHigh cortisol with a high ACTH
정답표
- 1. C · 심부전
- 2. A · 칼륨
- 3. D · About 0.4–4.0 mIU/L
- 4. B · The drug and its metabolites build up and cause long lows
- 5. D · Aspirate from the sampling port with a sterile syringe
- 6. C · Kidney function and thyroid function
- 7. A · 위산 손실. 낮은 칼륨과 염소, 대사성 알칼리증
- 8. A · Low cortisol with a high ACTH
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