1.쉬움
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- ALow
- BAbsent
- CHigh
- DNormal
2.쉬움
What does a "culture and sensitivity" test of a sample show?
- AWhether the patient is allergic to an antibiotic
- BThe amount of antibiotic in the patient's blood
- CHow many white cells are present in the sample
- DWhich organism grows and which antibiotics work on it
3.쉬움
What is the usual BUN-to-creatinine ratio in a healthy adult (using mg/dL)?
- AAbout 10:1 to 20:1
- BAbout 50:1 to 60:1
- CAbout 100:1 to 200:1
- DAbout 1:1 to 2:1
4.보통
A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?
- AGlucose in the urine
- BProtein in the urine
- CNitrites in the urine
- DKetones in the urine
5.보통
만성 콩팥병 환자에게 흔히 빈혈이 있는 이유는 무엇인가요?
- A신장 질환의 높은 칼륨이 적혈구를 파괴한다
- B손상된 신장이 적혈구를 걸러 파괴한다
- C요독 물질이 골수가 적혈구 대신 백혈구를 만들게 한다
- D신장이 적혈구 생성을 촉진하는 에리트로포이에틴을 덜 만든다
6.보통
When should a blood sample for a digoxin level be drawn to be interpreted correctly?
- AWithin 30 minutes after an oral dose to show the peak level
- BOnly after a meal, because food is needed for absorption
- CAt any time, because digoxin levels do not change during the day
- DAt least 6–8 hours after a dose, often just before the next one
7.어려움
A patient with heavy alcohol use and a poor diet has a hemoglobin of 10.1 g/dL (101 g/L), an MCV of 110 fL and a low red cell folate. Which explanation fits best?
- AThalassemia trait inherited from one of the parents
- BIron deficiency from slow, chronic bleeding in the gut
- CAnemia caused by long-standing chronic kidney disease
- DFolate deficiency, made worse by a direct alcohol effect
8.어려움
A patient with diabetes and chronic kidney disease had a CT scan with IV contrast. Two days later, the creatinine has risen from 1.4 to 2.0 mg/dL (124 to 177 µmol/L). Which action is most appropriate?
- AReport it, monitor urine output and hold metformin until reviewed
- BGive extra metformin, because the glucose rises after contrast
- CRestrict all fluids to protect the kidneys from more contrast
- DIgnore it, because contrast never affects kidney function
정답표
- 1. C · High
- 2. D · Which organism grows and which antibiotics work on it
- 3. A · About 10:1 to 20:1
- 4. B · Protein in the urine
- 5. D · 신장이 적혈구 생성을 촉진하는 에리트로포이에틴을 덜 만든다
- 6. D · At least 6–8 hours after a dose, often just before the next one
- 7. D · Folate deficiency, made worse by a direct alcohol effect
- 8. A · Report it, monitor urine output and hold metformin until reviewed
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