1.쉬움
What is a typical reference range for urine specific gravity in an adult?
- AAbout 1.100–1.300
- BAbout 0.900–0.990
- CAbout 1.005–1.030
- DAbout 1.040–1.060
2.쉬움
Which blood group's plasma can be given to patients of any ABO group (universal plasma donor)?
- AGroup AB
- BGroup B
- CGroup A
- DGroup O
3.쉬움
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- AReceives an insulin injection, and glucose is checked each hour
- BFasts for 3 days, and glucose is checked every morning before breakfast
- CDrinks a measured glucose solution, and glucose is checked 2 hours later
- DEats a normal meal, and glucose is checked once later that evening
4.보통
환자의 헤마토크릿이 54%, BUN이 높고 소변 비중이 1.034입니다. 이 양상은 무엇을 시사하나요?
- A묽은 소변을 동반한 신부전
- B혈액 농축을 동반한 탈수
- C수분 과다
- D희석을 동반한 급성 혈액 손실
5.보통
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
- AAt midnight only
- BIn the afternoon and evening
- CIn the early morning, before the dose
- DThe glucose will not change
6.보통
A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?
- AMagnesium
- BUric acid
- CPhosphate
- DSodium bicarbonate
7.어려움
A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?
- AGradual replacement of free water over many hours
- BA loop diuretic to remove the extra sodium quickly
- CStrict fluid restriction to below 800 mL a day
- DRapid infusion of 3% saline to raise the volume
8.어려움
A patient with advanced chronic kidney disease has a mildly raised troponin that has stayed the same on several tests over months. There is no chest pain and the ECG is unchanged. What is the best interpretation?
- AProof of an acute myocardial infarction that needs emergency treatment now
- BA chronic stable rise; infarction needs a rising or falling pattern
- CA sign of skeletal muscle injury, because troponin comes from all muscles
- DA laboratory error, because troponin is never raised in kidney disease
정답표
- 1. C · About 1.005–1.030
- 2. A · Group AB
- 3. C · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 4. B · 혈액 농축을 동반한 탈수
- 5. B · In the afternoon and evening
- 6. A · Magnesium
- 7. A · Gradual replacement of free water over many hours
- 8. B · A chronic stable rise; infarction needs a rising or falling pattern
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