1.쉬움
In iron-deficiency anemia, the total iron-binding capacity (TIBC) is usually:
- ANormal
- BHigh
- CLow
- DAbsent
2.쉬움
What is a "critical value" (panic value) in laboratory reporting?
- AA result that is normal but differs from the patient's last value
- BA result that the laboratory could not measure because of a bad sample
- CAny result that is slightly outside the laboratory reference range
- DA result so abnormal that it may threaten life and needs prompt action
3.쉬움
What does the term pancytopenia mean?
- AHigh white cells with low platelets
- BHigh red cells, white cells and platelets
- CLow red cells, white cells and platelets
- DLow red cells with normal platelets
4.보통
A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?
- APlasma volume rises more than red cell mass, diluting the blood
- BThe fetus is destroying the mother's red cells in the circulation
- CIron is being lost through the kidneys during the pregnancy
- DPregnancy hormones stop the bone marrow from making red cells
5.보통
환자의 나트륨이 152 mEq/L입니다. 간호사가 예상하는 소견은 무엇인가요?
- A발목 부종을 동반한 체중 증가
- B양성 트루소 징후를 동반한 근육 씰룩임
- C갈증, 마른 점막, 안절부절못함
- D뾰족한 T파를 동반한 서맥
6.보통
A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?
- AUric acid
- BMagnesium
- CPhosphate
- DSodium bicarbonate
7.어려움
Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?
- AHypokalemia from gastric losses is contributing to paralytic ileus
- BThe low potassium is due to the patient drinking too much water
- CHyperkalemia from tissue damage is causing the bowel to stop
- DThe potassium is normal for the second day after surgery
8.어려움
Which cerebrospinal fluid (CSF) pattern most strongly suggests bacterial meningitis?
- AClear fluid, normal glucose, normal protein, no white cells
- BClear fluid, normal glucose, mildly raised protein, lymphocytes
- CClear fluid, high glucose, low protein, many red cells
- DCloudy fluid, low glucose, high protein, many neutrophils
정답표
- 1. B · High
- 2. D · A result so abnormal that it may threaten life and needs prompt action
- 3. C · Low red cells, white cells and platelets
- 4. A · Plasma volume rises more than red cell mass, diluting the blood
- 5. C · 갈증, 마른 점막, 안절부절못함
- 6. B · Magnesium
- 7. A · Hypokalemia from gastric losses is contributing to paralytic ileus
- 8. D · Cloudy fluid, low glucose, high protein, many neutrophils
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