1.쉬움
총 혈청 칼슘의 전형적인 성인 기준 범위는 얼마인가요?
- A약 3.5–5.0 mg/dL (0.87–1.25 mmol/L)
- B약 1.3–2.1 mg/dL (0.3–0.5 mmol/L)
- C약 12–16 mg/dL (3.0–4.0 mmol/L)
- D약 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
2.쉬움
What is the main effect of aldosterone on the kidneys?
- AGlucose is retained and urea is excreted
- BSodium is retained and potassium is excreted
- CSodium is excreted and potassium is retained
- DCalcium is retained and phosphate is excreted
3.쉬움
What is the difference between serum and plasma?
- APlasma is the fluid left after blood clots, without fibrinogen
- BSerum is what is left after blood clots, minus clotting factors
- CSerum contains all the red cells, while plasma contains none
- DSerum and plasma are two names for exactly the same fluid
4.보통
Which IV fluid can be given through the same line as a red cell transfusion?
- A0.9% sodium chloride
- BLactated Ringer's (Hartmann's) solution
- C5% dextrose in water
- D0.45% sodium chloride
5.보통
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
- AVitamin C (ascorbic acid)
- BIron (low ferritin)
- CFolate (folic acid)
- DVitamin B12
6.보통
A patient with diabetes also takes propranolol. Why is regular glucose monitoring especially important?
- AThe drug stops the meter from reading correctly
- BThe drug causes very high glucose in all patients
- CThe drug blocks the insulin injection site
- DThe drug can mask warning signs of hypoglycemia
7.어려움
아픽사반을 복용하는 환자가 와파린을 복용하는 이웃처럼 왜 정기적인 INR 검사가 필요 없는지 묻습니다. 가장 좋은 설명은 무엇인가요?
- A아픽사반은 대신 매일 aPTT로 감시한다
- B효과가 예측 가능하므로 정기적인 응고 검사가 필요 없다
- CINR은 다른 정기 혈액 검사와 함께 몰래 확인된다
- D아픽사반은 실제로 피를 묽게 하지 않는다
8.어려움
A patient with severe hypertriglyceridemia has a measured sodium of 128 mEq/L, but a measured serum osmolality is normal, and the patient has no symptoms. What is the most likely explanation?
- ATrue hyponatremia from SIADH that needs fluid restriction
- BPseudohyponatremia, an artifact caused by very high lipids
- CHyponatremia caused by drinking far too much water
- DHyponatremia caused by severe hyperglycemia in diabetes
정답표
- 1. D · 약 8.5–10.5 mg/dL (2.1–2.6 mmol/L)
- 2. B · Sodium is retained and potassium is excreted
- 3. B · Serum is what is left after blood clots, minus clotting factors
- 4. A · 0.9% sodium chloride
- 5. D · Vitamin B12
- 6. D · The drug can mask warning signs of hypoglycemia
- 7. B · 효과가 예측 가능하므로 정기적인 응고 검사가 필요 없다
- 8. B · Pseudohyponatremia, an artifact caused by very high lipids
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