1.쉬움
Why is AST less specific for liver damage than ALT?
- AAST is not measured in the blood at all
- BAST is also found in heart and skeletal muscle
- CAST is made by the bone marrow, not the liver
- DAST is found only in the kidney tubules
2.쉬움
A urine dipstick is positive for nitrites. What does this most likely show?
- ABacteria in the urine that convert nitrate to nitrite
- BGlucose spilling into the urine from high blood levels
- CRed blood cells leaking from the glomeruli
- DKetones produced from fat breakdown in fasting
3.쉬움
혈청 칼륨의 전형적인 성인 기준 범위는 얼마인가요?
- A6.0–8.0 mEq/L
- B3.5–5.0 mEq/L
- C1.3–2.1 mEq/L
- D135–145 mEq/L
4.보통
A patient with chronic kidney disease receives an erythropoiesis-stimulating agent such as epoetin alfa. Which assessments are most important?
- ASerum amylase and lipase
- BLiver enzymes and bilirubin
- CHemoglobin and blood pressure
- DSerum glucose and ketones
5.보통
On the first day after major surgery, a patient's white cell count is 12.5 × 10³/µL, with no fever or wound signs. What is the best interpretation?
- AA sign of leukemia that needs bone marrow testing
- BA laboratory error, since surgery lowers white cells
- CA common stress response to surgery that is monitored
- DDefinite wound infection that needs antibiotics now
6.보통
A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?
- AA urinary tract infection
- BAn expected effect of the drug
- CA sign of kidney failure
- DUncontrolled diabetes needing insulin
7.어려움
A patient with schizophrenia drinks very large amounts of water each day. Sodium is 121 mEq/L, and the urine is very dilute (urine osmolality 70 mOsm/kg). Which explanation fits best?
- APrimary (psychogenic) polydipsia
- BSyndrome of inappropriate ADH
- CHyperosmolar hyperglycemic state
- DCentral diabetes insipidus
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?
- AHyponatremia caused by drinking far too much water
- BTrue hyponatremia from SIADH that needs fluid restriction
- CHyponatremia caused by severe hyperglycemia in diabetes
- DPseudohyponatremia, an artifact caused by very high lipids
정답표
- 1. B · AST is also found in heart and skeletal muscle
- 2. A · Bacteria in the urine that convert nitrate to nitrite
- 3. B · 3.5–5.0 mEq/L
- 4. C · Hemoglobin and blood pressure
- 5. C · A common stress response to surgery that is monitored
- 6. B · An expected effect of the drug
- 7. A · Primary (psychogenic) polydipsia
- 8. D · Pseudohyponatremia, an artifact caused by very high lipids
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