1.쉬움
How does dehydration usually affect the hematocrit?
- AIt makes it zero
- BIt has no effect
- CIt lowers it
- DIt raises it
2.쉬움
Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?
- AIt is not affected by inflammation or liver disease
- BIt has a long half-life, so it changes over months
- CIt has a short half-life, so it changes within days
- DIt is measured in urine, so no blood test is needed
3.쉬움
The tumor marker CA-125 is most often used to follow which cancer?
- AColon cancer
- BOvarian cancer
- CLung cancer
- DThyroid cancer
4.보통
A patient takes valproate (valproic acid) for epilepsy. Which tests are monitored regularly?
- ASerum lithium and urine specific gravity
- BTroponin and B-type natriuretic peptide
- CThyroid function and serum calcium
- DLiver function tests and platelet count
5.보통
A patient with an upper gastrointestinal bleed has a BUN of 48 mg/dL (urea 17 mmol/L) and a normal creatinine. What is the most likely explanation?
- AThe liver has stopped making urea because of the bleeding
- BThe kidneys have suddenly lost most of their function
- CSkeletal muscle is breaking down because of the blood loss
- DDigested blood adds protein, which the liver turns into urea
6.보통
A patient is starting atorvastatin. Which laboratory test is usually checked at baseline?
- ALiver enzymes
- BThyroid antibodies
- CSerum lipase
- DBlood cultures
7.어려움
Which set of results most strongly suggests hemolytic anemia?
- ALow hemoglobin, low reticulocytes, low MCV, low ferritin
- BLow hemoglobin, high MCV, low vitamin B12, normal bilirubin
- CLow hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
- DLow hemoglobin, low platelets, low white cells, low reticulocytes
8.어려움
심부전 환자의 BNP가 입원 때 매우 높았다가 이뇨제 치료 후 떨어지고 있습니다. 이는 가장 가능성이 높게 무엇을 보여 주나요?
- A이뇨제를 즉시 중단해야 한다는 것
- B심장에 가해지는 늘어남이 줄었으며 호전에 부합한다
- C이뇨제로 인한 새로운 신부전
- D수액이 더 필요한 심부전의 악화
정답표
- 1. D · It raises it
- 2. C · It has a short half-life, so it changes within days
- 3. B · Ovarian cancer
- 4. D · Liver function tests and platelet count
- 5. D · Digested blood adds protein, which the liver turns into urea
- 6. A · Liver enzymes
- 7. C · Low hemoglobin, high reticulocytes, high unconjugated bilirubin, high LDH
- 8. B · 심장에 가해지는 늘어남이 줄었으며 호전에 부합한다
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