1.쉬움
Below about which blood glucose level is hypoglycemia usually defined and treated in a person with diabetes?
- A100 mg/dL (5.6 mmol/L)
- B40 mg/dL (2.2 mmol/L)
- C70 mg/dL (3.9 mmol/L)
- D126 mg/dL (7.0 mmol/L)
2.쉬움
Where does most of the ammonia in the blood come from, and which organ removes it?
- ARed cell breakdown in the spleen; removed by the skin
- BFat breakdown in adipose tissue; removed by the lungs
- CProtein breakdown by gut bacteria; removed by the liver
- DGlucose breakdown in muscle; removed by the pancreas
3.쉬움
A low mean corpuscular volume (MCV) means that:
- AThe red cells are smaller than normal (microcytic)
- BThe red cells are larger than normal (macrocytic)
- CThe red cells contain more hemoglobin than normal
- DThe bone marrow is making too many white cells
4.보통
환자의 헤모글로빈이 7.8 g/dL(78 g/L)입니다. 간호사가 예상하는 소견은 무엇인가요?
- A가려움, 노란 피부, 짙은 소변
- B느린 심박수, 붉어진 피부, 높은 혈압
- C피로, 창백, 빠른 심박수, 활동 시 호흡곤란
- D두통, 코피, 붉은 얼굴
5.보통
A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?
- AGive one sample after brushing with mouthwash so it is clean
- BGive several samples of nasal mucus blown into a tissue
- CGive one sample of saliva collected from the mouth at any time of day
- DGive several deep-cough samples, often first thing in the morning
6.보통
Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?
- AHives and itching without other signs
- BBack pain with dark red urine output
- CA low temperature and slow heart rate
- DCrackles, hypertension and a raised BNP
7.어려움
Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?
- ADim the lights and encourage rest, as headaches are common after chemotherapy
- BAssess neurological status and report it at once as possible brain bleeding
- CGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
- DEncourage the patient to drink more fluids and check the blood pressure later
8.어려움
A patient has sudden episodes of severe headache, sweating, palpitations and very high blood pressure. Which test is most useful to look for the cause?
- ASerum calcium only
- BSerum TSH and free T4
- CPlasma free metanephrines
- DFasting lipid profile
정답표
- 1. C · 70 mg/dL (3.9 mmol/L)
- 2. C · Protein breakdown by gut bacteria; removed by the liver
- 3. A · The red cells are smaller than normal (microcytic)
- 4. C · 피로, 창백, 빠른 심박수, 활동 시 호흡곤란
- 5. D · Give several deep-cough samples, often first thing in the morning
- 6. D · Crackles, hypertension and a raised BNP
- 7. B · Assess neurological status and report it at once as possible brain bleeding
- 8. C · Plasma free metanephrines
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