1.쉬움
피부와 눈이 노래지는 증상(황달)과 가장 밀접하게 연관된 검사 결과는 무엇인가요?
- A혈소판 수 감소
- B혈청 칼슘 저하
- C혈청 칼륨 상승
- D혈청 빌리루빈 상승
2.쉬움
A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?
- ABladder urothelial cancer
- BHepatocellular (liver) cancer
- CProstate adenocarcinoma
- DDuctal breast cancer
3.쉬움
Which findings are typical of a low serum magnesium?
- ATremor, hyperreflexia and cardiac arrhythmias
- BPolyuria, extreme thirst and pale urine
- CLoss of reflexes, flushing and slow breathing
- DJaundice, itching and pale stools
4.보통
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
- AHigh TSH with a normal free T4
- BNormal TSH with a low free T4
- CLow TSH with a high free T4
- DHigh TSH with a low free T4
5.보통
Which IV fluid can be given through the same line as a red cell transfusion?
- A0.45% sodium chloride
- BLactated Ringer's (Hartmann's) solution
- C5% dextrose in water
- D0.9% sodium chloride
6.보통
A patient has started parenteral nutrition (PN) through a central line. Which test is monitored most frequently in the first days?
- AHemoglobin A1c
- BBlood glucose
- CSerum lipase
- DThyroid hormones
7.어려움
A patient without diabetes in the ICU with sepsis has a glucose of 260 mg/dL (14.4 mmol/L) and an HbA1c of 5.2%. What is the best interpretation?
- AA meter error, because HbA1c is normal
- BLong-standing undiagnosed type 2 diabetes
- CStress hyperglycemia from acute illness
- DType 1 diabetes from autoimmune damage
8.어려움
A patient on high-dose dexamethasone has a white cell count of 15 × 10³/µL, mostly mature neutrophils with no bands. They have no fever and no signs of infection. What is the most likely explanation?
- AA laboratory error, because steroids always lower the white count
- BCertain sepsis that needs antibiotics started without delay
- CA new leukemia that is confirmed by this result alone
- DA steroid effect that moves neutrophils into the circulating blood
정답표
- 1. D · 혈청 빌리루빈 상승
- 2. B · Hepatocellular (liver) cancer
- 3. A · Tremor, hyperreflexia and cardiac arrhythmias
- 4. C · Low TSH with a high free T4
- 5. D · 0.9% sodium chloride
- 6. B · Blood glucose
- 7. C · Stress hyperglycemia from acute illness
- 8. D · A steroid effect that moves neutrophils into the circulating blood
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