1.쉬움
반코마이신 최저 농도(trough) 검사는 언제 채혈하나요?
- A주입이 끝난 직후
- B용량 시간과 상관없이 하루 중 편한 때
- C주입 시작 2시간 후
- D다음 용량 직전, 보통 30분 이내
2.쉬움
Which antibody test is most specific for rheumatoid arthritis?
- AAnti-D antibody
- BAnti-CCP antibodies
- CAntinuclear antibody
- DAnti-HBs antibody
3.쉬움
총 혈청 칼슘의 전형적인 성인 기준 범위는 얼마인가요?
- A약 12–16 mg/dL (3.0–4.0 mmol/L)
- B약 1.3–2.1 mg/dL (0.3–0.5 mmol/L)
- C약 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- D약 3.5–5.0 mg/dL (0.87–1.25 mmol/L)
4.보통
뇌하수체 수술 후 환자가 비중 1.002인 옅은 소변을 시간당 약 400 mL 배출하고 나트륨이 149 mEq/L로 올랐습니다. 가장 가능성이 높은 질환은 무엇인가요?
- A케톤산증을 동반한 고혈당
- BSIADH
- C소변량 감소를 동반한 급성 신손상
- D요붕증
5.보통
A patient with hyperkalemia received IV regular insulin with dextrose. Which result must the nurse monitor closely over the next hours?
- AHemoglobin, because insulin causes red cell loss
- BSerum calcium, because it falls sharply
- CBlood glucose, because hypoglycemia can occur
- DSerum sodium, because it rises quickly
6.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?
- AThe fetus is destroying the mother's red cells in the circulation
- BPregnancy hormones stop the bone marrow from making red cells
- CPlasma volume rises more than red cell mass, diluting the blood
- DIron is being lost through the kidneys during the pregnancy
7.어려움
An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?
- AAsymptomatic bacteriuria, usually not treated with antibiotics
- BContamination, so the culture must be repeated every week
- CA urinary tract infection that needs urgent IV antibiotics
- DPyelonephritis, which needs admission and IV fluids today
8.어려움
A patient with heavy alcohol use and a poor diet has a hemoglobin of 10.1 g/dL (101 g/L), an MCV of 110 fL and a low red cell folate. Which explanation fits best?
- AFolate deficiency, made worse by a direct alcohol effect
- BIron deficiency from slow, chronic bleeding in the gut
- CAnemia caused by long-standing chronic kidney disease
- DThalassemia trait inherited from one of the parents
정답표
- 1. D · 다음 용량 직전, 보통 30분 이내
- 2. B · Anti-CCP antibodies
- 3. C · 약 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- 4. D · 요붕증
- 5. C · Blood glucose, because hypoglycemia can occur
- 6. C · Plasma volume rises more than red cell mass, diluting the blood
- 7. A · Asymptomatic bacteriuria, usually not treated with antibiotics
- 8. A · Folate deficiency, made worse by a direct alcohol effect
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