1.쉬움
Which laboratory test is used to diagnose sickle cell disease?
- AErythrocyte sedimentation rate
- BProthrombin time with INR
- CHemoglobin electrophoresis
- DSerum ferritin and transferrin saturation
2.쉬움
What does a raised D-dimer level show?
- AThe platelet count is too low to stop bleeding
- BThe liver is no longer able to make clotting factors
- CFibrin clots are being formed and broken down in the body
- DThe patient is taking too much warfarin
3.쉬움
Where is urea, measured as blood urea nitrogen (BUN), made?
- AIn the bone marrow, from old red blood cells
- BIn the muscles, from the breakdown of creatine
- CIn the kidneys, from the breakdown of glucose
- DIn the liver, from the breakdown of protein
4.보통
저칼슘혈증과 관련된 심전도 변화는 무엇인가요?
- A짧아진 QT 간격
- B연장된 QT 간격
- C높고 뾰족한 T파
- D뚜렷한 델타파
5.보통
A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?
- AIncreased red cell production
- BA laboratory error in the first sample
- CDilution of the blood by the IV fluid
- DA sudden failure of the bone marrow
6.보통
How does normal pregnancy usually affect serum creatinine?
- AIt stays exactly the same
- BIt rises, because GFR falls
- CIt rises with every week
- DIt falls, because GFR rises
7.어려움
디곡신을 복용하는 환자의 농도가 1.2 ng/mL, 칼륨이 2.8 mEq/L이고 새로운 빈번한 심실 이소성 박동이 있습니다. 가장 좋은 해석은 무엇인가요?
- A농도가 일반 범위 안이므로 디곡신은 원인일 수 없다
- B칼륨은 심장 리듬에 영향을 주지 않는다
- C리듬을 조절하려면 더 높은 디곡신 용량이 필요하다
- D낮은 칼륨이 디곡신의 효과를 높이므로 독성일 가능성이 있다
8.어려움
An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?
- AAsymptomatic bacteriuria, usually not treated with antibiotics
- BContamination, so the culture must be repeated every week
- CPyelonephritis, which needs admission and IV fluids today
- DA urinary tract infection that needs urgent IV antibiotics
정답표
- 1. C · Hemoglobin electrophoresis
- 2. C · Fibrin clots are being formed and broken down in the body
- 3. D · In the liver, from the breakdown of protein
- 4. B · 연장된 QT 간격
- 5. C · Dilution of the blood by the IV fluid
- 6. D · It falls, because GFR rises
- 7. D · 낮은 칼륨이 디곡신의 효과를 높이므로 독성일 가능성이 있다
- 8. A · Asymptomatic bacteriuria, usually not treated with antibiotics
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