1.쉬움
Which blood marker is the most specific for injury to the heart muscle?
- ACardiac troponin
- BLactate dehydrogenase
- CTotal creatine kinase
- DSerum myoglobin
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 so abnormal that it may threaten life and needs prompt action
- CAny result that is slightly outside the laboratory reference range
- DA result that the laboratory could not measure because of a bad sample
3.쉬움
In the US (NCEP ATP III) classification, which total cholesterol level is called desirable for an adult?
- ABetween 250 and 300 mg/dL (6.5–7.8 mmol/L)
- BBelow 300 mg/dL (7.8 mmol/L)
- CBelow 200 mg/dL (5.2 mmol/L)
- DAbove 240 mg/dL (6.2 mmol/L)
4.보통
A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?
- AAfter about 1 year
- BAfter about 6–8 weeks
- CAfter about 3 days
- DAfter about 24 hours
5.보통
A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?
- AStart an iron supplement only
- BReferral for colonoscopy
- CNo action if there are no symptoms
- DRepeat the test in 10 years
6.보통
A blood sample drawn just after a patient ate a fatty meal is reported as "lipemic." What does this mean for the results?
- AThe results are more accurate than in a fasting sample
- BThe sample was contaminated by an IV fluid with dextrose
- CThe sample shows the patient has diabetic ketoacidosis
- DHigh fat in the sample may interfere with some test results
7.어려움
알코올 사용 장애 환자가 이틀간 보충했는데도 칼륨이 3.0 mEq/L입니다. 마그네슘은 0.9 mEq/L입니다. 가장 적절한 다음 조치는 무엇인가요?
- A마그네슘을 보충한다. 낮은 마그네슘은 신장이 칼륨을 계속 잃게 한다
- B남는 마그네슘을 제거하기 위해 이뇨제를 준다
- C24시간 동안 모든 전해질 보충을 중단하고 재검사한다
- D칼륨 용량을 두 배로 하고 마그네슘은 나중으로 미룬다
8.어려움
오래된 폐 질환이 있는 환자의 혈청 중탄산염이 32 mEq/L, 동맥 PaCO₂가 늘 높고 pH는 7.36입니다. 어떤 상태가 가장 잘 맞나요?
- A만성 CO₂ 저류와 대사성 보상을 동반한 COPD
- B빠른 호흡을 동반한 급성 아스피린 과다 복용
- C많은 중탄산염 손실을 동반한 급성 중증 설사
- D심한 탈수와 구토를 동반한 급성 당뇨병성 케톤산증
정답표
- 1. A · Cardiac troponin
- 2. B · A result so abnormal that it may threaten life and needs prompt action
- 3. C · Below 200 mg/dL (5.2 mmol/L)
- 4. B · After about 6–8 weeks
- 5. B · Referral for colonoscopy
- 6. D · High fat in the sample may interfere with some test results
- 7. A · 마그네슘을 보충한다. 낮은 마그네슘은 신장이 칼륨을 계속 잃게 한다
- 8. A · 만성 CO₂ 저류와 대사성 보상을 동반한 COPD
자세한 단계별 풀이: examproblems.com에서 이 주제를 연습하세요.