1.쉬움
What is a "critical value" (panic value) in laboratory reporting?
- AA result so abnormal that it may threaten life and needs prompt action
- BA result that is normal but differs from the patient's last value
- CAny result that is slightly outside the laboratory reference range
- DA result that the laboratory could not measure because of a bad sample
2.쉬움
저칼륨혈증에 전형적인 심전도 변화는 무엇인가요?
- A높고 뾰족한 T파와 넓은 QRS
- B이웃한 두 개 이상의 유도에서 ST 상승
- C델타파와 짧은 PR 간격
- D편평한 T파와 뚜렷한 U파
3.쉬움
검사실이 자체 기준 범위로 결과를 높음으로 표시했지만 교재의 범위 안에 들어 있습니다. 이 환자에게는 어느 범위를 사용해야 하나요?
- A자신이 수련받은 병원에서 사용한 범위
- B어떤 자료에서든 찾을 수 있는 가장 넓은 범위
- C교재는 국가 표준이므로 교재의 범위
- D검사를 시행한 검사실의 기준 범위
4.보통
A patient with chronic kidney disease has a magnesium of 3.8 mEq/L (1.9 mmol/L). Which product is the most likely cause?
- AProton pump inhibitors taken long term
- BMagnesium-containing laxatives or antacids
- CExcess alcohol use over many years
- DLoop diuretics such as furosemide
5.보통
On the first day after major surgery, a patient's white cell count is 12.5 × 10³/µL, with no fever or wound signs. What is the best interpretation?
- AA sign of leukemia that needs bone marrow testing
- BA common stress response to surgery that is monitored
- CDefinite wound infection that needs antibiotics now
- DA laboratory error, since surgery lowers white cells
6.보통
An older adult with chronic kidney disease starts trimethoprim-sulfamethoxazole for a urinary tract infection. Which electrolyte should be monitored closely?
- ASodium, because the drug causes heavy sodium retention
- BChloride, because the drug causes chloride loss
- CPotassium, because trimethoprim can raise it
- DCalcium, because the drug binds calcium in the gut
7.어려움
A patient with jaundice and nausea has a positive IgM antibody to hepatitis A virus (IgM anti-HAV). What does this show?
- AImmunity from hepatitis A vaccine long ago
- BA current or recent hepatitis A infection
- CChronic hepatitis A lasting many years
- DPast hepatitis B infection that has cleared
8.어려움
A patient has fatigue, weight gain and constipation. Results: TSH 24 mIU/L, free T4 low, total cholesterol 285 mg/dL (7.4 mmol/L), sodium 131 mEq/L. What is the best interpretation?
- ASecondary hypothyroidism from failure of the pituitary gland
- BFamilial hypercholesterolemia, unrelated to the thyroid results
- CPrimary hypothyroidism, which can raise lipids and lower sodium
- DHyperthyroidism, with suppressed thyroid hormone production
정답표
- 1. A · A result so abnormal that it may threaten life and needs prompt action
- 2. D · 편평한 T파와 뚜렷한 U파
- 3. D · 검사를 시행한 검사실의 기준 범위
- 4. B · Magnesium-containing laxatives or antacids
- 5. B · A common stress response to surgery that is monitored
- 6. C · Potassium, because trimethoprim can raise it
- 7. B · A current or recent hepatitis A infection
- 8. C · Primary hypothyroidism, which can raise lipids and lower sodium
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