1.쉬움
폐렴이 의심될 때 배양을 위한 객담 검체는 이상적으로 언제 채취해야 합니까?
- A첫 항생제 투여 전에, 투여를 지연하지 않고
- B항생제는 배양에 영향을 주지 않으므로 언제든
- C항생제 치료 3일 후
- D일주일이 지나도 호전이 없을 때만
2.쉬움
와파린 치료를 감시하는 데 쓰는 혈액 검사는?
- AINR(국제표준화비)
- B활성화 부분 트롬보플라스틴 시간
- C항-Xa 수치
- D혈소판 수
3.쉬움
심근 손상에 가장 특이적인 혈액 검사는?
- A심장 트로포닌
- B크레아틴 키나제(총)
- CC-반응단백질
- D젖산탈수소효소
4.보통
A patient on furosemide has a serum potassium of 3.0 mmol/L (3.0 mEq/L). Which symptoms may this cause?
- AFacial flushing, fever and a skin rash
- BMuscle weakness, cramps and an irregular pulse
- CSevere headache and a stiff neck
- DTingling around the lips and painful spasm of the hands
5.보통
A patient who had a leg amputation says they feel burning pain in the missing foot. What is the best response?
- AExplain that phantom limb pain is real and arrange treatment
- BAdvise that it will be ignored until it stops
- CTell the patient the pain must be imaginary as the foot has gone
- DExplain that burning pain in the missing foot shows wound infection
6.보통
A patient with a long QT interval develops a polymorphic ventricular tachycardia that twists around the baseline but still has a pulse. Which drug is used first?
- AIntravenous adenosine
- BOral digoxin
- CIntravenous magnesium sulfate
- DIntravenous potassium chloride as a bolus
7.어려움
After chest trauma, a patient is hypotensive with reduced breath sounds on the left. Which finding suggests a haemothorax rather than a tension pneumothorax?
- ADullness to percussion on the affected side
- BTrachea pushed away from the affected side
- CDistended neck veins
- DHyper-resonance on the affected side
8.어려움
After an anaphylactic reaction to a bee sting that responded to adrenaline (epinephrine), a patient asks to go home immediately. Which advice is most appropriate?
- AGo home and take antihistamines only if the throat swells
- BStay in hospital for at least two weeks on daily intravenous antihistamines
- CGo home straight away, because anaphylaxis never recurs once adrenaline has worked
- DStay for observation, then go home with an adrenaline auto-injector and teaching
정답표
- 1. A · 첫 항생제 투여 전에, 투여를 지연하지 않고
- 2. A · INR(국제표준화비)
- 3. A · 심장 트로포닌
- 4. B · Muscle weakness, cramps and an irregular pulse
- 5. A · Explain that phantom limb pain is real and arrange treatment
- 6. C · Intravenous magnesium sulfate
- 7. A · Dullness to percussion on the affected side
- 8. D · Stay for observation, then go home with an adrenaline auto-injector and teaching
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