1.쉬움
팔에 혈압 커프를 부풀리자 환자의 손목이 굽혀지며 손이 경련을 일으킵니다. 이 징후는 어떤 전해질 이상을 시사하나요?
- A고나트륨혈증
- B고칼슘혈증
- C저칼슘혈증
- D고칼륨혈증
2.쉬움
혈청 인산염의 전형적인 성인 기준 범위는 얼마인가요?
- A약 2.5–4.5 mg/dL (0.8–1.5 mmol/L)
- B약 0.5–1.5 mg/dL (0.2–0.5 mmol/L)
- C약 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- D약 5.5–7.5 mg/dL (1.8–2.4 mmol/L)
3.쉬움
당뇨병이 없는 성인의 전형적인 정상 범위에 속하는 공복 혈당은 어느 것인가요?
- A210 mg/dL (11.7 mmol/L)
- B140 mg/dL (7.8 mmol/L)
- C45 mg/dL (2.5 mmol/L)
- D85 mg/dL (4.7 mmol/L)
4.보통
How often is the INR usually checked when warfarin is first started?
- AOnce a year, at a routine visit
- BEvery hour, during the first week
- COnly if bleeding occurs at home
- DEvery few days, until it is stable
5.보통
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe virus has been completely cured and removed
- BThe treatment can now be stopped without any risk
- CThe CD4 count must now be dangerously low too
- DThe treatment is suppressing the virus very well
6.보통
A young adult with new diabetes has a very low C-peptide level. What does this suggest?
- AThe patient is injecting too much insulin and needs a lower dose
- BThe patient has high insulin resistance, as in type 2 diabetes
- CThe pancreas is making very little insulin, as in type 1 diabetes
- DThe kidneys are excreting all of the patient's insulin in urine
7.어려움
새로운 심부정맥혈전증 환자가 헤파린을 주입 중이고 와파린이 막 시작되었습니다. 헤파린을 며칠간 계속하는 이유는 무엇인가요?
- A헤파린이 와파린의 부작용을 막는다
- B헤파린이 장에서 와파린의 흡수를 늘린다
- C와파린이 완전한 항응고 효과에 이르기까지 며칠이 걸린다
- D와파린은 헤파린을 동시에 줄 때만 작용한다
8.어려움
A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?
- AIron overload, treated with iron chelation therapy
- BLiver failure, treated with a liver transplant at once
- CAcute infection, treated with broad-spectrum antibiotics
- DIron deficiency, treated with IV iron supplements
정답표
- 1. C · 저칼슘혈증
- 2. A · 약 2.5–4.5 mg/dL (0.8–1.5 mmol/L)
- 3. D · 85 mg/dL (4.7 mmol/L)
- 4. D · Every few days, until it is stable
- 5. D · The treatment is suppressing the virus very well
- 6. C · The pancreas is making very little insulin, as in type 1 diabetes
- 7. C · 와파린이 완전한 항응고 효과에 이르기까지 며칠이 걸린다
- 8. A · Iron overload, treated with iron chelation therapy
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