1.쉬움
In a standard 2-hour oral glucose tolerance test, what does the patient do?
- AEats a normal meal, and glucose is checked once later that evening
- BReceives an insulin injection, and glucose is checked each hour
- CDrinks a measured glucose solution, and glucose is checked 2 hours later
- DFasts for 3 days, and glucose is checked every morning before breakfast
2.쉬움
Which drug commonly causes a low serum potassium?
- AAmiloride
- BSpironolactone
- CFurosemide
- DLisinopril
3.쉬움
Which liver test is especially sensitive to heavy alcohol use?
- ASerum lipase (pancreatic enzyme)
- BCardiac troponin I or T
- CSerum creatinine and BUN
- DGamma-glutamyl transferase (GGT)
4.보통
A stable adult who is not bleeding receives one unit of packed red cells. By about how much is the hemoglobin expected to rise?
- AAbout 0.1 g/dL (1 g/L)
- BAbout 3 g/dL (30 g/L)
- CAbout 5 g/dL (50 g/L)
- DAbout 1 g/dL (10 g/L)
5.보통
A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?
- ASerum lithium level
- BSerum amylase
- CInternational normalized ratio
- DAbsolute neutrophil count
6.보통
How should a patient collect a clean-catch midstream urine sample?
- ACollect the very first urine of the stream directly in the sterile cup
- BFill the cup completely, then add tap water if there is not enough
- CCollect urine from the toilet bowl after voiding into the toilet
- DClean the area, start voiding into the toilet, then catch the middle part
7.어려움
영양실조 환자가 다시 먹기 시작했고, 3일째에 인산염이 1.2 mg/dL(0.39 mmol/L)이며 근력 약화와 숨가쁨이 있습니다. 주된 위험은 무엇인가요?
- A낮은 인산염으로 인한 호흡 근육 약화와 심부전
- B빠른 체중 증가이며 심각한 위험은 없다
- C세포가 칼륨을 내보내서 생기는 고칼륨혈증
- D뼈에서 나온 칼슘으로 인한 신장 결석
8.어려움
A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?
- AAcute viral hepatitis with widespread liver cell damage
- BGilbert syndrome, a harmless inherited bilirubin disorder
- CBlockage of bile flow, for example by a tumor in the bile duct
- DIncreased breakdown of red blood cells (hemolytic anemia)
정답표
- 1. C · Drinks a measured glucose solution, and glucose is checked 2 hours later
- 2. C · Furosemide
- 3. D · Gamma-glutamyl transferase (GGT)
- 4. D · About 1 g/dL (10 g/L)
- 5. D · Absolute neutrophil count
- 6. D · Clean the area, start voiding into the toilet, then catch the middle part
- 7. A · 낮은 인산염으로 인한 호흡 근육 약화와 심부전
- 8. C · Blockage of bile flow, for example by a tumor in the bile duct
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