1.쉬움
Why is serum creatinine a better marker of kidney function than BUN?
- AIt is made by the liver, so it rises in every kind of illness
- BIt is not filtered by the kidneys, so its level stays very stable
- CIt is less affected by diet, hydration and bleeding in the gut
- DIt is affected mainly by protein intake, which is easy to control
2.쉬움
What is the usual target INR for a patient taking warfarin for a deep vein thrombosis?
- A2.0–3.0
- B4.0–5.0
- C1.0–1.5
- D0.8–1.2
3.쉬움
A patient has a hemoglobin of 19.5 g/dL (195 g/L) and a hematocrit of 58%. Which term describes this?
- APolycythemia (erythrocytosis)
- BPancytopenia (all cells low)
- CIron-deficiency anemia
- DThrombocytopenia (low platelets)
4.보통
한 시간 전에 흉통이 시작된 환자의 첫 트로포닌이 정상입니다. 올바른 해석은 무엇인가요?
- A트로포닌은 흉통 환자에게 유용하지 않다
- B환자는 바로 퇴원할 수 있다
- C경색이 배제되지 않았으며 프로토콜에 따라 트로포닌을 반복한다
- D경색이 배제되었으므로 추가 트로포닌 검사가 필요 없다
5.보통
A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?
- AA fall in serum potassium
- BA rise in serum sodium
- CA fall in blood glucose
- DA rise in serum calcium
6.보통
A patient is starting atorvastatin. Which laboratory test is usually checked at baseline?
- ALiver enzymes
- BSerum lipase
- CBlood cultures
- DThyroid antibodies
7.어려움
심부전 환자가 리시노프릴, 스피로노락톤, 칼륨 보충제를 복용합니다. 오늘 칼륨이 6.0 mEq/L입니다. 가장 가능성이 높은 설명은 무엇인가요?
- A칼륨 보충제는 혈청 농도에 영향을 주지 않는다
- B칼륨을 올리는 여러 약을 함께 복용하고 있다
- C리시노프릴은 칼륨을 낮춘다
- D스피로노락톤은 칼륨 손실을 일으킨다
8.어려움
During surgery under general anesthesia, a patient develops a rising end-tidal CO2, muscle rigidity and tachycardia, then a high potassium and a rising temperature. Which condition is most likely?
- AMalignant hyperthermia
- BHypovolemic shock
- CHypoglycemia from fasting
- DAcute hemolytic transfusion reaction
정답표
- 1. C · It is less affected by diet, hydration and bleeding in the gut
- 2. A · 2.0–3.0
- 3. A · Polycythemia (erythrocytosis)
- 4. C · 경색이 배제되지 않았으며 프로토콜에 따라 트로포닌을 반복한다
- 5. A · A fall in serum potassium
- 6. A · Liver enzymes
- 7. B · 칼륨을 올리는 여러 약을 함께 복용하고 있다
- 8. A · Malignant hyperthermia
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