1.쉬움
Which examination findings are typical of a large pleural effusion?
- ANormal percussion and bronchial breathing
- BHyper-resonance and a loud wheeze over the affected side
- CDullness to percussion and reduced breath sounds
- DCoarse crackles that clear on coughing
2.쉬움
How is cardiac output calculated?
- AStroke volume divided by heart rate
- BHeart rate multiplied by stroke volume
- CMean arterial pressure multiplied by heart rate
- DSystolic pressure minus diastolic pressure
3.쉬움
다리 심부정맥혈전증에 전형적인 소견은?
- A양쪽 발이 차고 창백하며 맥박이 없음
- B양쪽 발목 주변의 갈색 피부 착색
- C한쪽 종아리의 부종, 열감, 압통
- D걸을 때 종아리 통증이 있고 쉬면 몇 분 안에 가라앉음
4.보통
Why is a beta-blocker started at a low dose and increased slowly in heart failure?
- AIt works only if the dose is never changed after the first day
- BIt is safe only at the highest possible dose from the very start
- CIt can briefly worsen symptoms before long-term benefit appears
- DIt must be stopped as soon as symptoms improve
5.보통
최근 뇌졸중이 있고 삼킴곤란이 있는 환자에게 열과 우하엽 수포음이 생겼습니다. 가장 가능성 높은 원인은?
- A급성 천식
- B좌심실부전
- C폐색전증
- D흡인성 폐렴
6.보통
혼돈, 요소, 호흡수, 혈압, 연령을 사용하는 폐렴 중증도 점수는?
- ACHA₂DS₂-VASc
- BCURB-65
- CNEWS2
- DWells 점수
7.어려움
A patient with small-cell lung cancer becomes confused. Sodium is 122 mmol/L (122 mEq/L) with concentrated urine, and there are no signs of dehydration. What is the most likely cause?
- ACranial diabetes insipidus from brain metastases
- BExcess salt in the diet over several weeks
- CSyndrome of inappropriate ADH secretion
- DSevere dehydration from poor oral intake
8.어려움
A patient with heart failure wakes extremely breathless, coughing pink frothy sputum. BP is 168/96 mmHg and SpO₂ 86%. Help has been called. What is the best initial nursing action?
- AGive a large IV fluid bolus to support the circulation
- BSit the patient upright with the legs down and give oxygen
- CEncourage the patient to walk to ease the breathing
- DLie the patient flat with the legs raised on pillows
정답표
- 1. C · Dullness to percussion and reduced breath sounds
- 2. B · Heart rate multiplied by stroke volume
- 3. C · 한쪽 종아리의 부종, 열감, 압통
- 4. C · It can briefly worsen symptoms before long-term benefit appears
- 5. D · 흡인성 폐렴
- 6. B · CURB-65
- 7. C · Syndrome of inappropriate ADH secretion
- 8. B · Sit the patient upright with the legs down and give oxygen
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