1.쉬움
What does a positive direct antiglobulin test (direct Coombs test) show?
- AAntibodies or complement are attached to the patient's red cells
- BThe patient's platelets are clumping together in the blood sample
- CThe patient's plasma is missing the clotting factor VIII
- DThe patient's red cells are too small and contain little hemoglobin
2.쉬움
당뇨병의 일반적인 진단 기준에 해당하는 HbA1c 값은 어느 것인가요?
- A4.5%(26 mmol/mol) 이상
- B5.0%(31 mmol/mol) 이상
- C6.5%(48 mmol/mol) 이상
- D5.5%(37 mmol/mol) 이상
3.쉬움
혈청 마그네슘의 전형적인 성인 기준 범위는 얼마인가요?
- A약 3.5–5.0 mEq/L (1.75–2.5 mmol/L)
- B약 1.3–2.1 mEq/L (0.65–1.05 mmol/L)
- C약 6.0–8.0 mEq/L (3.0–4.0 mmol/L)
- D약 0.3–0.7 mEq/L (0.15–0.35 mmol/L)
4.보통
When is a peak level for an IV aminoglycoside such as gentamicin usually drawn?
- AAbout 30 minutes after the infusion ends
- BJust before the next dose is started
- CExactly 24 hours after the first dose
- DAt any time convenient for the patient
5.보통
A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?
- AA fall in blood glucose
- BA fall in serum calcium
- CA rise in serum uric acid
- DA rise in serum potassium
6.보통
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
- AAt midnight only
- BThe glucose will not change
- CIn the early morning, before the dose
- DIn the afternoon and evening
7.어려움
INR이 2.4로 안정적인 와파린 복용 환자가 시프로플록사신 같은 항생제 치료를 시작했습니다. 일주일 뒤 INR이 4.6입니다. 가장 가능성이 높은 설명은 무엇인가요?
- A와파린의 효과를 높이는 약물 상호작용
- B환자가 비타민 K가 풍부한 음식을 더 먹었다
- C항생제가 환자의 항응고 필요성을 없앴다
- D검사실 오류만이 유일한 설명이다
8.어려움
A patient's creatinine was 0.9 mg/dL (80 µmol/L) on admission and is 1.3 mg/dL (115 µmol/L) 36 hours later. Using the common KDIGO criteria, what does this show?
- AAcute kidney injury, because it rose by at least 0.3 mg/dL within 48 hours
- BA laboratory error, because creatinine cannot change within 2 days
- CChronic kidney disease, because creatinine has risen above baseline
- DNo kidney injury, because the creatinine is still within the normal range
정답표
- 1. A · Antibodies or complement are attached to the patient's red cells
- 2. C · 6.5%(48 mmol/mol) 이상
- 3. B · 약 1.3–2.1 mEq/L (0.65–1.05 mmol/L)
- 4. A · About 30 minutes after the infusion ends
- 5. C · A rise in serum uric acid
- 6. D · In the afternoon and evening
- 7. A · 와파린의 효과를 높이는 약물 상호작용
- 8. A · Acute kidney injury, because it rose by at least 0.3 mg/dL within 48 hours
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