1.쉬움
뇌전증에서 총 혈청 발프로산(발프로이산)의 흔히 인용되는 치료 범위는 얼마인가요?
- A약 5–10 mcg/mL (mg/L)
- B약 50–100 mcg/mL (mg/L)
- C약 500–1000 mcg/mL (mg/L)
- D약 0.6–1.2 mcg/mL (mg/L)
2.쉬움
소변 비중 1.035는 가장 가능성이 높게 무엇을 시사하나요?
- A탈수에서처럼 농축된 소변
- B요붕증에서처럼 매우 묽은 소변
- C요로 감염
- D모든 환자에서 정상인 소변
3.쉬움
A blood lactate level above about which value is usually considered raised in an adult?
- A0.2 mmol/L
- B2 mmol/L
- C20 mmol/L
- D10 mmol/L
4.보통
Which blood collection practice helps prevent hemolysis of the sample?
- AForcing blood quickly through a needle into the tube
- BGently inverting the tubes instead of shaking them
- CLeaving the tourniquet on for at least 3 minutes
- DUsing the smallest needle available for every patient
5.보통
A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?
- ARanges cover about 95% of healthy people, so some fall outside
- BAny result outside the range always means disease is present
- CReference ranges are the same in every laboratory worldwide
- DReference ranges include every healthy person without exception
6.보통
Why is a blood β-hydroxybutyrate level often preferred to a urine ketone dipstick in DKA?
- AIt shows the average ketone level over the past three months
- BThe urine dipstick only detects ketones in people without diabetes
- CIt is the only test that can measure glucose and ketones together
- DIt measures the main ketone in DKA, and the dipstick may miss it
7.어려움
A nursing student has a positive interferon-gamma release assay (IGRA) for tuberculosis, no symptoms and a normal chest X-ray. What does this most likely mean?
- ALatent TB infection, which is not contagious
- BA false result, as the test does not detect TB
- CPast BCG vaccination only, with no infection
- DActive pulmonary TB, which is contagious
8.어려움
A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1.8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8.8 mmol/L). Which condition fits best?
- APrerenal kidney injury
- BAcute pyelonephritis
- CLiver cirrhosis only
- DNephrotic syndrome
정답표
- 1. B · 약 50–100 mcg/mL (mg/L)
- 2. A · 탈수에서처럼 농축된 소변
- 3. B · 2 mmol/L
- 4. B · Gently inverting the tubes instead of shaking them
- 5. A · Ranges cover about 95% of healthy people, so some fall outside
- 6. D · It measures the main ketone in DKA, and the dipstick may miss it
- 7. A · Latent TB infection, which is not contagious
- 8. D · Nephrotic syndrome
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