1.쉬움
Where does most of the ammonia in the blood come from, and which organ removes it?
- ARed cell breakdown in the spleen; removed by the skin
- BGlucose breakdown in muscle; removed by the pancreas
- CFat breakdown in adipose tissue; removed by the lungs
- DProtein breakdown by gut bacteria; removed by the liver
2.쉬움
For a fasting plasma glucose test, the patient should have had no caloric intake for at least:
- A24 hours
- B3 hours
- C8 hours
- D1 hour
3.쉬움
Which blood group is the universal donor for red blood cells in an emergency?
- AGroup B, Rh positive
- BGroup AB, Rh positive
- CGroup O, Rh negative
- DGroup A, Rh negative
4.보통
항이뇨호르몬 부적절 분비 증후군(SIADH) 환자의 나트륨이 128 mEq/L입니다. 간호사가 예상하는 처방된 조치는 무엇인가요?
- A많은 양의 5% 포도당 정맥 주입
- B수분 섭취를 더 하도록 권하기
- C저나트륨 식이
- D수분 제한
5.보통
A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?
- AAdd more glucose to the next bag to clear the fluid
- BSend the fluid for cell count and culture and report it
- CStop dialysis for a week and recheck the fluid later
- DRecord it as normal and continue the usual exchanges
6.보통
An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1.0 to 1.8 mg/dL (88 to 159 µmol/L). What is the most likely cause?
- AA laboratory error, since ibuprofen has no effect on the kidney
- BMore activity has increased the patient's muscle mass quickly
- CNormal aging of the kidneys over a period of a few weeks
- DThe NSAID reduces kidney blood flow on top of the other two drugs
7.어려움
INR이 2.4로 안정적인 와파린 복용 환자가 시프로플록사신 같은 항생제 치료를 시작했습니다. 일주일 뒤 INR이 4.6입니다. 가장 가능성이 높은 설명은 무엇인가요?
- A항생제가 환자의 항응고 필요성을 없앴다
- B검사실 오류만이 유일한 설명이다
- C와파린의 효과를 높이는 약물 상호작용
- D환자가 비타민 K가 풍부한 음식을 더 먹었다
8.어려움
A patient with severe sepsis is oozing blood from IV sites. Platelets 40 × 10³/µL, fibrinogen low, D-dimer very high, PT and aPTT both prolonged. Which condition fits best?
- AHemophilia A (factor VIII deficiency)
- BDisseminated intravascular coagulation (DIC)
- CHeparin-induced thrombocytopenia (HIT)
- DImmune thrombocytopenic purpura (ITP)
정답표
- 1. D · Protein breakdown by gut bacteria; removed by the liver
- 2. C · 8 hours
- 3. C · Group O, Rh negative
- 4. D · 수분 제한
- 5. B · Send the fluid for cell count and culture and report it
- 6. D · The NSAID reduces kidney blood flow on top of the other two drugs
- 7. C · 와파린의 효과를 높이는 약물 상호작용
- 8. B · Disseminated intravascular coagulation (DIC)
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