1.쉬움
A positive hepatitis B surface antigen (HBsAg) test means:
- AThe person has never met the virus
- BThe person currently has hepatitis B infection
- CThe person had hepatitis A in the past
- DThe person is immune from vaccination only
2.쉬움
소변 비중 1.035는 가장 가능성이 높게 무엇을 시사하나요?
- A모든 환자에서 정상인 소변
- B요로 감염
- C탈수에서처럼 농축된 소변
- D요붕증에서처럼 매우 묽은 소변
3.쉬움
What is the main role of fibrinogen in the blood?
- AIt transports iron from the gut to the bone marrow
- BIt is converted to fibrin, which forms the mesh of a clot
- CIt breaks down clots once the bleeding has stopped
- DIt carries oxygen from the lungs to the body tissues
4.보통
A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?
- AIt is added to the IV bag without mixing, so it stays at the bottom
- BIt is given as an undiluted bolus into a large vein to avoid irritation
- CIt may be given as a slow IV push over one minute if the level is very low
- DIt is always diluted and given by infusion pump, never as an IV push
5.보통
How does the nurse start a 24-hour urine collection at 08:00?
- AHave the patient void and discard that urine, then save all urine until 08:00 the next day
- BCollect only the first urine passed on waking, and repeat this the next morning
- CSave three samples spread across the day and discard all of the urine passed at night
- DSave the 08:00 urine as the first sample, then collect until 08:00 the next day
6.보통
A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?
- AIn the early morning, before the dose
- BIn the afternoon and evening
- CThe glucose will not change
- DAt midnight only
7.어려움
A woman who is 34 weeks pregnant has high blood pressure, right upper abdominal pain, a platelet count of 70 × 10³/µL, raised ALT and AST, and a raised LDH. Which condition fits best?
- AGestational diabetes
- BHELLP syndrome
- CAcute cholecystitis
- DPhysiologic anemia of pregnancy
8.어려움
A patient stopped long-term prednisone suddenly a week ago. Now: blood pressure 78/46 mm Hg, sodium 128 mEq/L, potassium 4.6 mEq/L, glucose 58 mg/dL (3.2 mmol/L). Which condition is most likely?
- ASyndrome of inappropriate ADH (SIADH)
- BAcute adrenal insufficiency (adrenal crisis)
- CCushing syndrome from steroid excess
- DPrimary hyperaldosteronism (Conn syndrome)
정답표
- 1. B · The person currently has hepatitis B infection
- 2. C · 탈수에서처럼 농축된 소변
- 3. B · It is converted to fibrin, which forms the mesh of a clot
- 4. D · It is always diluted and given by infusion pump, never as an IV push
- 5. A · Have the patient void and discard that urine, then save all urine until 08:00 the next day
- 6. B · In the afternoon and evening
- 7. B · HELLP syndrome
- 8. B · Acute adrenal insufficiency (adrenal crisis)
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