1.쉬움
급성 췌장염에서 가장 전형적으로 오르는 검사는 무엇인가요?
- A혈청 트로포닌
- B혈청 알부민
- C당화혈색소
- D혈청 리파제
2.쉬움
Which blood group's plasma can be given to patients of any ABO group (universal plasma donor)?
- AGroup A
- BGroup B
- CGroup AB
- DGroup O
3.쉬움
Why can bilirubin appear in the urine in obstructive jaundice but not in hemolytic jaundice?
- AHemolysis stops the kidneys making any urine at all
- BUnconjugated bilirubin is broken down in the bladder
- COnly conjugated bilirubin is water soluble and filtered
- DThe kidneys are always damaged in obstructive jaundice
4.보통
A patient's potassium is unexpectedly 5.8 mEq/L. The sample was taken after the tourniquet was on for several minutes while the patient pumped their fist. What is the best interpretation?
- ATourniquet time affects only the glucose result, not the potassium
- BThe result confirms true hyperkalemia and needs no further checking
- CFist pumping lowers potassium, so the true level is even higher
- DThe result may be falsely high and should be repeated with better technique
5.보통
A patient with a low clinical probability of deep vein thrombosis has a normal (negative) D-dimer. What is the best interpretation?
- AA pulmonary embolism is now certain to be present
- BA DVT is confirmed and anticoagulation is needed
- CThe test is useless and should always be ignored
- DA DVT is unlikely and can usually be ruled out
6.보통
A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?
- AIron (low ferritin)
- BVitamin C (ascorbic acid)
- CFolate (folic acid)
- DVitamin B12
7.어려움
Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?
- ACalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- BSodium 136 mEq/L on IV fluids after surgery
- CGlucose 145 mg/dL (8.0 mmol/L) after surgery
- DHemoglobin 12.1 g/dL (121 g/L) after surgery
8.어려움
A patient has a continuous heparin infusion for a pulmonary embolism. A new nurse plans to adjust the infusion using today's INR of 1.1. What should the experienced nurse explain?
- AThe INR of 1.1 means the heparin rate must be doubled at once
- BHeparin is adjusted using the aPTT or anti-Xa level, not the INR
- CHeparin needs no laboratory monitoring once the infusion is started
- DThe INR is the correct test, and 1.1 means heparin is therapeutic
정답표
- 1. D · 혈청 리파제
- 2. C · Group AB
- 3. C · Only conjugated bilirubin is water soluble and filtered
- 4. D · The result may be falsely high and should be repeated with better technique
- 5. D · A DVT is unlikely and can usually be ruled out
- 6. D · Vitamin B12
- 7. A · Calcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
- 8. B · Heparin is adjusted using the aPTT or anti-Xa level, not the INR
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