1.쉬움
Which sample is commonly used to screen a patient for MRSA carriage on admission?
- AA blood culture from one arm
- BA sample of stool sent for culture
- CA swab from the front of the nose
- DA clean-catch midstream urine sample
2.쉬움
A raised alpha-fetoprotein (AFP) in an adult is most closely linked to which cancer?
- AHepatocellular (liver) cancer
- BBladder urothelial cancer
- CDuctal breast cancer
- DProstate adenocarcinoma
3.쉬움
What does a "culture and sensitivity" test of a sample show?
- AThe amount of antibiotic in the patient's blood
- BWhether the patient is allergic to an antibiotic
- CHow many white cells are present in the sample
- DWhich organism grows and which antibiotics work on it
4.보통
A breathless patient in the emergency department has a BNP below 100 pg/mL. What does this suggest?
- AHeart failure is an unlikely cause of the breathlessness
- BThe patient has had a myocardial infarction in the past day
- CSevere heart failure is certainly the cause of the problem
- DThe kidneys are failing and the patient needs dialysis
5.보통
Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?
- AINR and the platelet count
- BTroponin and creatine kinase (CK)
- CKidney function and thyroid function
- DLiver enzymes and serum amylase
6.보통
When should a blood sample for a digoxin level be drawn to be interpreted correctly?
- AWithin 30 minutes after an oral dose to show the peak level
- BAt any time, because digoxin levels do not change during the day
- COnly after a meal, because food is needed for absorption
- DAt least 6–8 hours after a dose, often just before the next one
7.어려움
After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?
- AFluid restriction to protect the heart from overload
- BHigh-dose NSAIDs for the muscle pain
- CLarge-volume IV fluids with cardiac monitoring
- DAn oral potassium supplement with each meal
8.어려움
환자의 반코마이신 최저 농도가 28 mcg/mL이고, 처방자가 정한 목표는 15–20 mcg/mL입니다. 다음 용량 시간이 지금입니다. 가장 좋은 조치는 무엇인가요?
- A노출을 줄이기 위해 더 짧은 시간에 걸쳐 용량을 준다
- B용량을 보류하고 처방자에게 알리며 신장 기능을 확인한다
- C예정대로 용량을 주고 일주일 뒤에 최저 농도를 다시 확인한다
- D치료를 빨리 마치도록 두 배 용량을 준다
정답표
- 1. C · A swab from the front of the nose
- 2. A · Hepatocellular (liver) cancer
- 3. D · Which organism grows and which antibiotics work on it
- 4. A · Heart failure is an unlikely cause of the breathlessness
- 5. C · Kidney function and thyroid function
- 6. D · At least 6–8 hours after a dose, often just before the next one
- 7. C · Large-volume IV fluids with cardiac monitoring
- 8. B · 용량을 보류하고 처방자에게 알리며 신장 기능을 확인한다
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