1.쉬움
An eGFR below which value indicates stage 5 chronic kidney disease (kidney failure)?
- A45 mL/min/1.73 m²
- B90 mL/min/1.73 m²
- C15 mL/min/1.73 m²
- D60 mL/min/1.73 m²
2.쉬움
갑상선 기능을 선별하는 데 보통 가장 먼저 쓰는 혈액 검사는 무엇인가요?
- A혈청 칼슘
- B갑상선 자극 호르몬(TSH)
- C혈청 코르티솔
- D당화혈색소(HbA1c)
3.쉬움
How does active vitamin D (calcitriol) affect calcium?
- AIt increases calcium loss in the urine
- BIt blocks calcium absorption from the gut
- CIt moves calcium out of the blood into cells
- DIt increases calcium absorption from the gut
4.보통
A patient is starting atorvastatin. Which laboratory test is usually checked at baseline?
- ABlood cultures
- BThyroid antibodies
- CSerum lipase
- DLiver enzymes
5.보통
A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2.1 mmol/L). Which treatment is appropriate?
- AOrange juice poured slowly into the patient's mouth
- BA dose of rapid-acting insulin to stabilize the glucose
- CGlucagon by injection, or IV dextrose as prescribed
- DGlucose tablets placed between the patient's teeth
6.보통
심한 간 질환이 있고 날개 치기 떨림(flapping tremor)을 보이는 환자의 혼돈의 원인을 가장 잘 반영하는 검사 수치는 무엇인가요?
- A낮은 혈청 리파제
- B혈청 암모니아 상승
- C트로포닌 상승
- D낮은 혈청 칼륨만
7.어려움
A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?
- AThe result is normal, as dexamethasone raises cortisol
- BThe patient has primary hypothyroidism instead
- CThe adrenal glands are not able to produce enough cortisol
- DCortisol is being produced without normal feedback control
8.어려움
Which set of results most strongly suggests hemolytic anemia?
- ALow hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
- BLow hemoglobin, low platelets, low white cells, low reticulocytes
- CLow hemoglobin, low reticulocytes, low MCV, low ferritin
- DLow hemoglobin, high MCV, low vitamin B12, normal bilirubin
정답표
- 1. C · 15 mL/min/1.73 m²
- 2. B · 갑상선 자극 호르몬(TSH)
- 3. D · It increases calcium absorption from the gut
- 4. D · Liver enzymes
- 5. C · Glucagon by injection, or IV dextrose as prescribed
- 6. B · 혈청 암모니아 상승
- 7. D · Cortisol is being produced without normal feedback control
- 8. A · Low hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
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