1.쉬움
A serum sodium of 151 mEq/L is called:
- AHypernatremia
- BHypercalcemia
- CHyperkalemia
- DHyponatremia
2.쉬움
What does a "culture and sensitivity" test of a sample show?
- AWhether the patient is allergic to an antibiotic
- BWhich organism grows and which antibiotics work on it
- CHow many white cells are present in the sample
- DThe amount of antibiotic in the patient's blood
3.쉬움
Which laboratory test is traditionally used to adjust a continuous infusion of unfractionated heparin?
- AErythrocyte sedimentation rate (ESR)
- BInternational normalized ratio (INR)
- CActivated partial thromboplastin time (aPTT)
- DPlatelet function assay (PFA-100 test)
4.보통
A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?
- AA low serum magnesium
- BA high serum potassium
- CA high serum calcium
- DA low serum sodium
5.보통
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
- AThe patient has high insulin resistance, as in type 2 diabetes
- BThe pancreas is making very little insulin, as in type 1 diabetes
- CThe patient is injecting too much insulin and needs a lower dose
- DThe kidneys are excreting all of the patient's insulin in urine
6.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 new bone cancer
- BA sign of blocked bile ducts
- CA normal rise from placental ALP
- DA sign of acute viral hepatitis
7.어려움
헤파린을 주입 중인 환자의 혈소판 수가 7일째에 260에서 110 × 10³/µL로 떨어졌습니다. 가장 적절한 조치는 무엇인가요?
- A수치가 아직 100 × 10³/µL를 간신히 넘으므로 조치하지 않는다
- B즉시 보고한다. 헤파린 유발 혈소판감소증일 수 있다
- C주입을 계속하고 프로토콜에 따라 속도를 올린다
- D혈소판을 수혈하고 헤파린을 계속한다
8.어려움
A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?
- AA vaso-occlusive pain crisis in the bones
- BA normal finding in sickle cell disease
- CAn aplastic crisis, often caused by parvovirus B19
- DIron deficiency from a poor diet over months
정답표
- 1. A · Hypernatremia
- 2. B · Which organism grows and which antibiotics work on it
- 3. C · Activated partial thromboplastin time (aPTT)
- 4. D · A low serum sodium
- 5. B · The pancreas is making very little insulin, as in type 1 diabetes
- 6. C · A normal rise from placental ALP
- 7. B · 즉시 보고한다. 헤파린 유발 혈소판감소증일 수 있다
- 8. C · An aplastic crisis, often caused by parvovirus B19
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