1.쉬움
What does "pleuritic" chest pain mean?
- ASharp pain that worsens on breathing in or coughing
- BAching that is worse when the arm is moved
- CBurning pain behind the breastbone after meals
- DDull pressure that spreads to the jaw on exertion
2.쉬움
정맥성 다리 궤양이 가장 흔히 생기는 곳은?
- A발가락 끝
- B내측 복사뼈(안쪽 발목) 위
- C발뒤꿈치 뒤쪽
- D발바닥의 중족골 머리 아래
3.쉬움
헤파린이나 아픽사반 같은 항응고제의 주된 역할은?
- A혈소판이 서로 달라붙는 것을 막는 것
- B기존 혈전을 몇 분 안에 완전히 녹이는 것
- C새 혈전을 예방하고 기존 혈전이 커지는 것을 막는 것
- D수술이나 출혈 후 혈소판 수를 올리는 것
4.보통
Which ECG finding is typical of atrial flutter?
- ARegular sawtooth flutter waves between QRS complexes
- BWide, bizarre QRS complexes at 180/min
- CA chaotic baseline with no clear P waves and irregular QRS
- DP waves with no relationship to the QRS complexes
5.보통
A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?
- APhaeochromocytoma
- BStable angina
- CAortic stenosis
- DAsthma
6.보통
심부전 환자가 ACE 억제제에 더해 스피로노락톤을 시작했습니다. 면밀히 감시해야 하는 혈액 검사 결과는?
- A혈당. 두 약 모두 저혈당을 일으킬 수 있기 때문
- B칼슘. 두 약 모두 칼슘을 낮출 수 있기 때문
- C헤모글로빈. 두 약 모두 출혈을 일으킬 수 있기 때문
- D칼륨. 두 약 모두 칼륨을 높일 수 있기 때문
7.어려움
Which instruction from the registered nurse to a healthcare assistant (unlicensed assistive personnel) caring for a patient with COPD is most appropriate?
- A"Turn his oxygen up to whatever he needs if he looks short of breath."
- B"Tell me straight away if his SpO₂ is under 88% or he is more breathless."
- C"Listen to his chest after lunch and let me know what you can hear."
- D"Teach him how to use his new inhaler this afternoon after his rest."
8.어려움
After a car crash, a patient is severely breathless with absent breath sounds on the right, a deviated trachea, distended neck veins and BP 76/40 mmHg. What is the immediate management?
- AUrgent needle or finger decompression of the right chest
- BInsertion of a urinary catheter to monitor output
- CA chest X-ray to confirm the diagnosis before any treatment
- DLying the patient flat with the legs raised
정답표
- 1. A · Sharp pain that worsens on breathing in or coughing
- 2. B · 내측 복사뼈(안쪽 발목) 위
- 3. C · 새 혈전을 예방하고 기존 혈전이 커지는 것을 막는 것
- 4. A · Regular sawtooth flutter waves between QRS complexes
- 5. A · Phaeochromocytoma
- 6. D · 칼륨. 두 약 모두 칼륨을 높일 수 있기 때문
- 7. B · "Tell me straight away if his SpO₂ is under 88% or he is more breathless."
- 8. A · Urgent needle or finger decompression of the right chest
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