1.쉬움
Which group of symptoms is typical of pulmonary tuberculosis?
- ASudden wheeze, itching and a raised skin rash
- BCalf pain, leg swelling and redness
- CSharp chest pain only when lying flat on the back
- DLong-lasting cough, night sweats and weight loss
2.쉬움
Which side effects are common after inhaled salbutamol (albuterol)?
- AConstipation and dry eyes
- BWeight gain and ankle swelling
- CDrowsiness and a slow heart rate
- DFine tremor and a fast heart rate
3.쉬움
What defines type 2 respiratory failure?
- ALow PaO₂ with a raised PaCO₂
- BNormal PaO₂ with a low PaCO₂
- CLow PaO₂ with a normal or low PaCO₂
- DHigh PaO₂ with a high bicarbonate
4.보통
A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?
- AExpect the urine to turn bright orange and stain underwear and clothes
- BKeep the genital area clean, as fungal infections are more common
- CAvoid drinking any fluids at all for the first week of treatment
- DTake an extra dose if the ankles swell
5.보통
A patient's blood pressure is 120/60 mmHg. What is the approximate mean arterial pressure?
- A100 mmHg
- B90 mmHg
- C60 mmHg
- D80 mmHg
6.보통
After a prescribed IV fluid bolus for hypotension, what should the nurse do next?
- AStart a second fluid bolus straight away without checking anything
- BWait until the next routine observations in four hours
- CReassess heart rate, blood pressure, urine output and lung sounds
- DStop all monitoring if the patient says they feel better
7.어려움
심방세동으로 아픽사반을 복용 중인 환자가 선택적 수술을 예약했습니다. 올바른 실무를 반영한 설명은?
- A수술 당일 아침까지 항상 계속한다
- B수술 2주 전에 중단하고 와파린으로 대체한다
- C중단한 뒤 경구 비타민 K로 역전시킨다
- D출혈 위험과 신기능에 따라 정해진 기간 동안 중단한다
8.어려움
A patient with a confirmed pulmonary embolism has BP 78/50 mmHg despite fluids, and the right ventricle is dilated on echocardiography. Which treatment is most likely?
- AOral apixaban only, started next week
- BSystemic thrombolysis
- CCompression stockings and bed rest
- DAn inhaled bronchodilator
정답표
- 1. D · Long-lasting cough, night sweats and weight loss
- 2. D · Fine tremor and a fast heart rate
- 3. A · Low PaO₂ with a raised PaCO₂
- 4. B · Keep the genital area clean, as fungal infections are more common
- 5. D · 80 mmHg
- 6. C · Reassess heart rate, blood pressure, urine output and lung sounds
- 7. D · 출혈 위험과 신기능에 따라 정해진 기간 동안 중단한다
- 8. B · Systemic thrombolysis
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