1.쉬움
Which form of bilirubin rises mainly when red cells are broken down faster than normal?
- AUrine bilirubin
- BUnconjugated (indirect)
- CStool bilirubin
- DConjugated (direct)
2.쉬움
Which laboratory test is used to monitor warfarin therapy?
- AD-dimer
- BaPTT
- CPT with INR
- DPlatelet count
3.쉬움
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- AHigh
- BNormal
- CAbsent
- DLow
4.보통
When is a peak level for an IV aminoglycoside such as gentamicin usually drawn?
- AAt any time convenient for the patient
- BJust before the next dose is started
- CExactly 24 hours after the first dose
- DAbout 30 minutes after the infusion ends
5.보통
A patient had a total gastrectomy. Which long-term therapy is needed to prevent anemia?
- ALifelong oral folic acid tablets only
- BLifelong vitamin B12 replacement
- CWeekly doses of oral vitamin K tablets
- DMonthly transfusions of red blood cells
6.보통
A patient has weight loss, tremor and heat intolerance. Which thyroid test pattern fits Graves disease?
- AHigh TSH with a normal free T4
- BHigh TSH with a low free T4
- CNormal TSH with a low free T4
- DLow TSH with a high free T4
7.어려움
당뇨병성 케톤산증 환자가 정맥 인슐린 주입을 받고 있습니다. 특히 면밀히 감시해야 하는 검사 수치는 무엇인가요?
- A알부민. 인슐린이 간의 알부민 생성을 멈추게 하기 때문이다
- B나트륨. 인슐린이 신장에서 나트륨을 매우 많이 배설하게 하기 때문이다
- C헤모글로빈. 인슐린이 적혈구를 파괴하기 때문이다
- D칼륨. 인슐린이 칼륨을 세포 안으로 이동시켜 빠르게 떨어질 수 있기 때문이다
8.어려움
A patient's potassium is 7.2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?
- AAn oral potassium binder dose
- BUrgent hemodialysis session
- CIV calcium gluconate (or chloride)
- DIV furosemide (a loop diuretic)
정답표
- 1. B · Unconjugated (indirect)
- 2. C · PT with INR
- 3. A · High
- 4. D · About 30 minutes after the infusion ends
- 5. B · Lifelong vitamin B12 replacement
- 6. D · Low TSH with a high free T4
- 7. D · 칼륨. 인슐린이 칼륨을 세포 안으로 이동시켜 빠르게 떨어질 수 있기 때문이다
- 8. C · IV calcium gluconate (or chloride)
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