1.쉬움
성인 여성에서 전형적인 기준 범위보다 낮은 헤모글로빈 값은 어느 것인가요?
- A12.8 g/dL (128 g/L)
- B9.2 g/dL (92 g/L)
- C13.5 g/dL (135 g/L)
- D14.6 g/dL (146 g/L)
2.쉬움
급성 췌장염에서 가장 전형적으로 오르는 검사는 무엇인가요?
- A혈청 리파제
- B당화혈색소
- C혈청 알부민
- D혈청 트로포닌
3.쉬움
혈청 알부민의 전형적인 성인 기준 범위는 얼마인가요?
- A약 8.5–10.5 g/dL (85–105 g/L)
- B약 12–16 g/dL (120–160 g/L)
- C약 3.5–5.0 g/dL (35–50 g/L)
- D약 0.5–1.0 g/dL (5–10 g/L)
4.보통
A patient with HIV on antiretroviral therapy has an undetectable viral load. What does this mean?
- AThe treatment is suppressing the virus very well
- BThe treatment can now be stopped without any risk
- CThe CD4 count must now be dangerously low too
- DThe virus has been completely cured and removed
5.보통
A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?
- AThe patient has developed acute hepatitis
- BThe patient has developed acute pancreatitis
- CAn acute myocardial infarction has occurred
- DStrenuous exercise raised CK from skeletal muscle
6.보통
A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?
- AUncontrolled diabetes needing insulin
- BAn expected effect of the drug
- CA urinary tract infection
- DA sign of kidney failure
7.어려움
환자가 다량의 피를 토하고 30분 뒤에 도착했습니다. 심박수는 분당 125회이지만 첫 헤모글로빈은 13.0 g/dL(130 g/L)입니다. 헤모글로빈이 오해를 부르는 이유는 무엇인가요?
- A이 검사는 응급 상황에서 결코 정확하지 않다
- B출혈 중에는 헤모글로빈이 올라 손실을 가린다
- C전혈이 소실되므로 농도는 몇 시간 뒤에야 떨어진다
- D이 수치는 의미 있는 출혈이 없음을 증명한다
8.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?
- AA false result, as the test does not detect TB
- BPast BCG vaccination only, with no infection
- CLatent TB infection, which is not contagious
- DActive pulmonary TB, which is contagious
정답표
- 1. B · 9.2 g/dL (92 g/L)
- 2. A · 혈청 리파제
- 3. C · 약 3.5–5.0 g/dL (35–50 g/L)
- 4. A · The treatment is suppressing the virus very well
- 5. D · Strenuous exercise raised CK from skeletal muscle
- 6. B · An expected effect of the drug
- 7. C · 전혈이 소실되므로 농도는 몇 시간 뒤에야 떨어진다
- 8. C · Latent TB infection, which is not contagious
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