1.쉬움
Serum creatinine comes mainly from:
- AThe digestion of protein by gut bacteria
- BThe breakdown of dietary fat in the liver
- CThe normal breakdown of creatine in muscle
- DThe breakdown of old red cells in the spleen
2.쉬움
What does the term "thrombocytosis" mean?
- AA low platelet count
- BA low red cell count
- CA high platelet count
- DA high white cell count
3.쉬움
The prostate-specific antigen (PSA) test is used mainly in relation to which organ?
- APituitary gland
- BThyroid gland
- CPancreas
- DProstate gland
4.보통
A patient on warfarin for atrial fibrillation has a target INR of 2.0–3.0. How does the usual target for a patient with a mechanical mitral valve compare?
- AThe same, 2.0–3.0
- BMuch higher, about 5.0–6.0
- CHigher, about 2.5–3.5
- DLower, about 1.0–1.5
5.보통
Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?
- AHives and itching without other signs
- BA low temperature and slow heart rate
- CBack pain with dark red urine output
- DCrackles, hypertension and a raised BNP
6.보통
A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?
- AA laboratory error in the first sample
- BIncreased red cell production
- CA sudden failure of the bone marrow
- DDilution of the blood by the IV fluid
7.어려움
A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2.1 mg/dL (186 µmol/L). What does this indicate?
- ASevere C. difficile infection
- BUnrelated chronic kidney disease
- CSuccessful response to treatment
- DMild infection needing no treatment
8.어려움
A patient with advanced chronic kidney disease has a mildly raised troponin that has stayed the same on several tests over months. There is no chest pain and the ECG is unchanged. What is the best interpretation?
- AA sign of skeletal muscle injury, because troponin comes from all muscles
- BA laboratory error, because troponin is never raised in kidney disease
- CA chronic stable rise; infarction needs a rising or falling pattern
- DProof of an acute myocardial infarction that needs emergency treatment now
정답표
- 1. C · The normal breakdown of creatine in muscle
- 2. C · A high platelet count
- 3. D · Prostate gland
- 4. C · Higher, about 2.5–3.5
- 5. D · Crackles, hypertension and a raised BNP
- 6. D · Dilution of the blood by the IV fluid
- 7. A · Severe C. difficile infection
- 8. C · A chronic stable rise; infarction needs a rising or falling pattern
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