1.쉬움
Which liver test is especially sensitive to heavy alcohol use?
- AGamma-glutamyl transferase (GGT)
- BSerum lipase (pancreatic enzyme)
- CCardiac troponin I or T
- DSerum creatinine and BUN
2.쉬움
Why is glucose normally absent from the urine?
- AThe tubules reabsorb all filtered glucose at normal blood levels
- BGlucose is changed into ketones before it reaches the urine
- CThe glomeruli do not filter glucose out of the blood at any level
- DThe bladder lining breaks down any glucose that reaches the urine
3.쉬움
Which form of bilirubin rises mainly when red cells are broken down faster than normal?
- AUrine bilirubin
- BStool bilirubin
- CConjugated (direct)
- DUnconjugated (indirect)
4.보통
환자의 헤마토크릿이 54%, BUN이 높고 소변 비중이 1.034입니다. 이 양상은 무엇을 시사하나요?
- A혈액 농축을 동반한 탈수
- B묽은 소변을 동반한 신부전
- C수분 과다
- D희석을 동반한 급성 혈액 손실
5.보통
A patient had a right mastectomy with removal of axillary lymph nodes. Where is the best place to draw blood?
- AThe right hand
- BEither arm equally
- CThe left arm
- DThe right arm
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 normal rise from placental ALP
- BA sign of new bone cancer
- CA sign of blocked bile ducts
- DA sign of acute viral hepatitis
7.어려움
Two weeks after a sore throat, a child develops dark (cola-colored) urine, puffy eyes and high blood pressure. Urinalysis shows red cell casts and protein. Which condition is most likely?
- ALower urinary tract infection (cystitis)
- BKidney stone in the ureter
- CPrerenal acute kidney injury
- DPost-streptococcal glomerulonephritis
8.어려움
At the start of a shift, the nurse reviews four new results. Which patient needs attention first?
- ASodium 119 mEq/L in a patient with new confusion and vomiting
- BGlucose 180 mg/dL (10 mmol/L) after a meal in a patient with diabetes
- CPotassium 5.2 mEq/L in a patient with stable chronic kidney disease
- DHemoglobin 11.0 g/dL (110 g/L) in a patient with rheumatoid arthritis
정답표
- 1. A · Gamma-glutamyl transferase (GGT)
- 2. A · The tubules reabsorb all filtered glucose at normal blood levels
- 3. D · Unconjugated (indirect)
- 4. A · 혈액 농축을 동반한 탈수
- 5. C · The left arm
- 6. A · A normal rise from placental ALP
- 7. D · Post-streptococcal glomerulonephritis
- 8. A · Sodium 119 mEq/L in a patient with new confusion and vomiting
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