1.쉬움
A tuberculin skin test (TST) is read as positive. What does this mean?
- AThe person definitely has active, contagious pulmonary TB
- BThe person is fully immune and can never develop TB
- CThe person has never been exposed to TB bacteria
- DThe person has been infected with TB bacteria at some point
2.쉬움
At what time of day is serum cortisol normally highest?
- AAround midnight
- BEarly morning
- CLate afternoon
- DAfter the evening meal
3.쉬움
What is a typical adult reference range for thyroid-stimulating hormone (TSH)?
- AAbout 40–80 mIU/L
- BAbout 0.4–4.0 mIU/L
- CAbout 10–20 mIU/L
- DAbout 0.01–0.04 mIU/L
4.보통
How does the nurse start a 24-hour urine collection at 08:00?
- ASave the 08:00 urine as the first sample, then collect until 08:00 the next day
- BHave the patient void and discard that urine, then save all urine until 08:00 the next day
- CCollect only the first urine passed on waking, and repeat this the next morning
- DSave three samples spread across the day and discard all of the urine passed at night
5.보통
간부전 환자가 와파린을 복용하지 않는데도 INR이 높아질 수 있는 이유는 무엇인가요?
- A알부민이 응고 인자이며 그 농도가 떨어진다
- B간이 대부분의 응고 인자를 만들므로 생성이 줄어든다
- C신장이 혈액에서 응고 인자를 제거하지 못한다
- D빌리루빈이 응고 인자를 직접 파괴한다
6.보통
A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?
- AThe infection has spread to another organ
- BThe antibiotic is causing liver damage
- CThe patient has developed a new infection
- DThe inflammation is settling with treatment
7.어려움
A patient with chronic kidney disease stage 4 has a high phosphate, a low-normal calcium and a very high parathyroid hormone (PTH). What does this show?
- APrimary hyperparathyroidism from a tumor
- BHypoparathyroidism after neck surgery
- CVitamin D toxicity from supplements
- DSecondary hyperparathyroidism from CKD
8.어려움
정맥 황산마그네슘 주입 중, 독성을 일찍 발견하는 데 가장 좋은 사정은 무엇인가요?
- A장음과 복위
- B매시간 혈당과 동공 크기
- C무릎 반사, 호흡수, 소변량
- D매시간 피부색과 모세혈관 재충혈
정답표
- 1. D · The person has been infected with TB bacteria at some point
- 2. B · Early morning
- 3. B · About 0.4–4.0 mIU/L
- 4. B · Have the patient void and discard that urine, then save all urine until 08:00 the next day
- 5. B · 간이 대부분의 응고 인자를 만들므로 생성이 줄어든다
- 6. D · The inflammation is settling with treatment
- 7. D · Secondary hyperparathyroidism from CKD
- 8. C · 무릎 반사, 호흡수, 소변량
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