1.쉬움
What is a typical adult reference range for total serum bilirubin?
- AAbout 0.03–0.1 mg/dL (0.5–1.7 µmol/L)
- BAbout 10–20 mg/dL (171–342 µmol/L)
- CAbout 0.3–1.2 mg/dL (5–21 µmol/L)
- DAbout 3–12 mg/dL (51–205 µmol/L)
2.쉬움
Why is prealbumin (transthyretin) sometimes used to follow a patient's nutritional status instead of albumin?
- AIt has a long half-life, so it changes over months
- BIt is not affected by inflammation or liver disease
- CIt has a short half-life, so it changes within days
- DIt is measured in urine, so no blood test is needed
3.쉬움
What is a typical adult reference range for serum bicarbonate (total CO2) on a metabolic panel?
- AAbout 98–106 mEq/L
- BAbout 35–45 mEq/L
- CAbout 8–12 mEq/L
- DAbout 22–28 mEq/L
4.보통
A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?
- AA fall in serum calcium
- BA fall in blood glucose
- CA rise in serum uric acid
- DA rise in serum potassium
5.보통
A patient with hyponatremia from SIADH starts tolvaptan. Why is the serum sodium checked frequently in the first day?
- AThe sodium can rise too quickly
- BThe drug lowers blood glucose sharply
- CThe sodium always falls further
- DThe drug causes severe hyperkalemia
6.보통
A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?
- AUrine ketone level
- BSerum lithium level
- CSerum amylase level
- DComplete blood count
7.어려움
간호사가 가장 먼저 보고해야 할 환자의 결과는 무엇인가요?
- A목표를 약간 넘는 총 콜레스테롤
- B제2형 당뇨병 환자의 HbA1c 7.4% (57 mmol/mol)
- C안정적인 만성 콩팥병이 알려진 환자의 크레아티닌 1.6 mg/dL (141 µmol/L)
- D땀을 흘리며 혼돈이 있는 환자의 혈당 42 mg/dL (2.3 mmol/L)
8.어려움
A patient has fatigue, weight gain and constipation. Results: TSH 24 mIU/L, free T4 low, total cholesterol 285 mg/dL (7.4 mmol/L), sodium 131 mEq/L. What is the best interpretation?
- ASecondary hypothyroidism from failure of the pituitary gland
- BHyperthyroidism, with suppressed thyroid hormone production
- CPrimary hypothyroidism, which can raise lipids and lower sodium
- DFamilial hypercholesterolemia, unrelated to the thyroid results
정답표
- 1. C · About 0.3–1.2 mg/dL (5–21 µmol/L)
- 2. C · It has a short half-life, so it changes within days
- 3. D · About 22–28 mEq/L
- 4. C · A rise in serum uric acid
- 5. A · The sodium can rise too quickly
- 6. D · Complete blood count
- 7. D · 땀을 흘리며 혼돈이 있는 환자의 혈당 42 mg/dL (2.3 mmol/L)
- 8. C · Primary hypothyroidism, which can raise lipids and lower sodium
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