1.쉬움
The sweat chloride test is used to diagnose which condition?
- ASickle cell disease
- BHypothyroidism
- CCystic fibrosis
- DDiabetes mellitus
2.쉬움
What is the usual urine dipstick result for protein in a healthy adult?
- ANegative or trace
- BStrongly positive (+++)
- CAlways moderately positive
- DPositive only in the morning
3.쉬움
갑상선 기능을 선별하는 데 보통 가장 먼저 쓰는 혈액 검사는 무엇인가요?
- A당화혈색소(HbA1c)
- B혈청 칼슘
- C혈청 코르티솔
- D갑상선 자극 호르몬(TSH)
4.보통
For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?
- AAbout 60–80 mg/dL (3.3–4.4 mmol/L)
- BAbout 250–300 mg/dL (13.9–16.7 mmol/L)
- CAbout 300–350 mg/dL (16.7–19.4 mmol/L)
- DAbout 140–180 mg/dL (7.8–10 mmol/L)
5.보통
A patient is starting dabigatran, a direct oral anticoagulant. Which laboratory test is most important to review before the first dose?
- ALipase, to rule out an inflamed pancreas first
- BTSH, to rule out an overactive thyroid gland
- CINR, to set the dose of the anticoagulant
- DKidney function (creatinine clearance)
6.보통
When do the blood counts usually reach their lowest point (nadir) after many standard chemotherapy regimens?
- AAbout 7–14 days after treatment
- BOn the same day as treatment
- CWithin 1–2 hours of treatment
- DAbout 6 months after treatment
7.어려움
A patient has a continuous heparin infusion for a pulmonary embolism. A new nurse plans to adjust the infusion using today's INR of 1.1. What should the experienced nurse explain?
- AThe INR of 1.1 means the heparin rate must be doubled at once
- BHeparin needs no laboratory monitoring once the infusion is started
- CHeparin is adjusted using the aPTT or anti-Xa level, not the INR
- DThe INR is the correct test, and 1.1 means heparin is therapeutic
8.어려움
A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?
- AMagnesium causes potassium loss, so the kidneys release more fluid
- BPoor kidney function makes the magnesium level fall quickly
- CMagnesium is broken down by the liver, so it will stop working soon
- DMagnesium is excreted by the kidneys, so it can build up to toxic levels
정답표
- 1. C · Cystic fibrosis
- 2. A · Negative or trace
- 3. D · 갑상선 자극 호르몬(TSH)
- 4. D · About 140–180 mg/dL (7.8–10 mmol/L)
- 5. D · Kidney function (creatinine clearance)
- 6. A · About 7–14 days after treatment
- 7. C · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
- 8. D · Magnesium is excreted by the kidneys, so it can build up to toxic levels
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