1.쉬움
혈청 칼륨의 전형적인 성인 기준 범위는 얼마인가요?
- A135–145 mEq/L
- B1.3–2.1 mEq/L
- C3.5–5.0 mEq/L
- D6.0–8.0 mEq/L
2.쉬움
What is the usual BUN-to-creatinine ratio in a healthy adult (using mg/dL)?
- AAbout 1:1 to 2:1
- BAbout 50:1 to 60:1
- CAbout 10:1 to 20:1
- DAbout 100:1 to 200:1
3.쉬움
노인이 몇 시간 동안 바닥에 누워 있다가 발견되었습니다. 골격근 파괴(횡문근융해증)를 가장 잘 보여 주는 혈액 검사는 무엇인가요?
- A크레아틴 키나제(CK)
- B혈청 알부민
- C혈청 리파제
- D당화혈색소(HbA1c)
4.보통
In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?
- AA sign of acute viral hepatitis
- BA normal rise from placental ALP
- CA sign of blocked bile ducts
- DA sign of new bone cancer
5.보통
디곡신을 복용하는 환자의 농도가 2.8 ng/mL이고 심박수가 분당 52회입니다. 간호사의 가장 좋은 조치는 무엇인가요?
- A심박수가 분당 50회 이상이므로 용량을 준다
- B용량을 보류하고 처방자에게 알린다
- C용량을 주고 한 달 뒤에 농도를 다시 확인한다
- D리듬을 교정하기 위해 두 배 용량을 준다
6.보통
A patient had a total thyroidectomy yesterday. Which laboratory value is most important to monitor in the first days after surgery?
- ASerum glucose
- BSerum sodium
- CSerum potassium
- DSerum calcium
7.어려움
A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?
- AThe patient has primary hypothyroidism instead
- BThe adrenal glands are not able to produce enough cortisol
- CThe result is normal, as dexamethasone raises cortisol
- DCortisol is being produced without normal feedback control
8.어려움
A patient on digoxin has a calcium of 12.1 mg/dL (3.0 mmol/L) and new nausea and a slow pulse. Why is the calcium result important?
- AHigh calcium only matters if the potassium is also high
- BHigh calcium blocks digoxin, so the drug stops working
- CHigh calcium increases the risk of digoxin toxicity
- DHigh calcium makes the kidneys clear digoxin faster
정답표
- 1. C · 3.5–5.0 mEq/L
- 2. C · About 10:1 to 20:1
- 3. A · 크레아틴 키나제(CK)
- 4. B · A normal rise from placental ALP
- 5. B · 용량을 보류하고 처방자에게 알린다
- 6. D · Serum calcium
- 7. D · Cortisol is being produced without normal feedback control
- 8. C · High calcium increases the risk of digoxin toxicity
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