1.쉬움
Which condition commonly causes a high serum potassium?
- ARepeated vomiting
- BLoop diuretic use
- CSevere diarrhea
- DKidney failure
2.쉬움
A laboratory reports that a blood sample is "hemolyzed." What does this mean?
- AThe sample contains too many platelets
- BThe sample has a very low hemoglobin
- CThe sample was taken from an artery
- DRed cells in the sample have broken open
3.쉬움
Thrombocytopenia is usually defined as a platelet count below:
- A150 × 10³/µL (150 × 10⁹/L)
- B450 × 10³/µL (450 × 10⁹/L)
- C1,000 × 10³/µL (1,000 × 10⁹/L)
- D15 × 10³/µL (15 × 10⁹/L)
4.보통
디곡신을 투여할 시간이 된 환자의 칼륨이 3.1 mEq/L입니다. 이 결과가 왜 중요한가요?
- A낮은 칼륨은 디곡신을 무효로 만들므로 용량을 두 배로 해야 한다
- B칼륨과 디곡신은 상호작용하지 않는다
- C낮은 칼륨은 디곡신의 부작용으로부터 심장을 보호한다
- D낮은 칼륨은 디곡신 독성의 위험을 높인다
5.보통
A patient had a total thyroidectomy yesterday. Which laboratory value is most important to monitor in the first days after surgery?
- ASerum calcium
- BSerum glucose
- CSerum potassium
- DSerum sodium
6.보통
간부전 환자가 와파린을 복용하지 않는데도 INR이 높아질 수 있는 이유는 무엇인가요?
- A신장이 혈액에서 응고 인자를 제거하지 못한다
- B간이 대부분의 응고 인자를 만들므로 생성이 줄어든다
- C알부민이 응고 인자이며 그 농도가 떨어진다
- D빌리루빈이 응고 인자를 직접 파괴한다
7.어려움
A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?
- AThe result is normal, as dexamethasone raises cortisol
- BCortisol is being produced without normal feedback control
- CThe adrenal glands are not able to produce enough cortisol
- DThe patient has primary hypothyroidism instead
8.어려움
A man of Mediterranean descent develops dark urine, jaundice and a falling hemoglobin a few days after eating fava beans. Which condition is most likely?
- AVitamin B12 deficiency anemia
- BIron-deficiency anemia from poor diet
- CSickle cell crisis with vaso-occlusion
- DG6PD deficiency with acute hemolysis
정답표
- 1. D · Kidney failure
- 2. D · Red cells in the sample have broken open
- 3. A · 150 × 10³/µL (150 × 10⁹/L)
- 4. D · 낮은 칼륨은 디곡신 독성의 위험을 높인다
- 5. A · Serum calcium
- 6. B · 간이 대부분의 응고 인자를 만들므로 생성이 줄어든다
- 7. B · Cortisol is being produced without normal feedback control
- 8. D · G6PD deficiency with acute hemolysis
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