1.쉬움
A serum sodium of 151 mEq/L is called:
- AHyponatremia
- BHypercalcemia
- CHypernatremia
- DHyperkalemia
2.쉬움
Why is glucose normally absent from the urine?
- AThe bladder lining breaks down any glucose that reaches the urine
- BThe tubules reabsorb all filtered glucose at normal blood levels
- CGlucose is changed into ketones before it reaches the urine
- DThe glomeruli do not filter glucose out of the blood at any level
3.쉬움
Which form of bilirubin rises mainly when red cells are broken down faster than normal?
- AConjugated (direct)
- BUnconjugated (indirect)
- CStool bilirubin
- DUrine bilirubin
4.보통
오늘 환자의 공복 혈당은 98 mg/dL(5.4 mmol/L)이지만 HbA1c는 8.9%(74 mmol/mol)입니다. 가장 좋은 해석은 무엇인가요?
- AHbA1c는 지난 24시간만 반영한다
- B오늘의 좋은 결과는 당뇨병이 잘 조절되고 있음을 보여 준다
- C환자는 당뇨병이 없다
- D지난 2~3개월 동안 혈당 조절이 좋지 않았다
5.보통
A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?
- AIt is always diluted and given by infusion pump, never as an IV push
- BIt may be given as a slow IV push over one minute if the level is very low
- CIt is added to the IV bag without mixing, so it stays at the bottom
- DIt is given as an undiluted bolus into a large vein to avoid irritation
6.보통
환자가 에녹사파린(저분자량 헤파린)을 피하 주사로 투여받습니다. 감시에 관한 올바른 진술은 무엇인가요?
- A용량 조절을 위해 6시간마다 aPTT를 확인해야 한다
- B어떤 혈액 검사도 필요하지 않다
- C와파린처럼 INR로 매 용량을 조절한다
- D일상적인 aPTT는 하지 않고 대신 혈소판과 신장 기능을 확인한다
7.어려움
A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T4 and no symptoms. What is the most likely explanation?
- AShe has pituitary failure from the pregnancy
- BhCG stimulates the thyroid in early pregnancy
- CShe has developed Graves disease in pregnancy
- DThe result shows severe primary hypothyroidism
8.어려움
An older adult has bone pain, fatigue and frequent infections. Results show anemia, a calcium of 12.4 mg/dL (3.1 mmol/L), a raised total protein and a rising creatinine. Which condition should be suspected?
- AAcute viral hepatitis
- BMultiple myeloma
- CIron-deficiency anemia
- DPrimary hypothyroidism
정답표
- 1. C · Hypernatremia
- 2. B · The tubules reabsorb all filtered glucose at normal blood levels
- 3. B · Unconjugated (indirect)
- 4. D · 지난 2~3개월 동안 혈당 조절이 좋지 않았다
- 5. A · It is always diluted and given by infusion pump, never as an IV push
- 6. D · 일상적인 aPTT는 하지 않고 대신 혈소판과 신장 기능을 확인한다
- 7. B · hCG stimulates the thyroid in early pregnancy
- 8. B · Multiple myeloma
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