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이름: ____________________ 날짜: ____________
1.쉬움
How is diabetic retinopathy usually picked up early?
ARegular eye screening with retinal photographs
BWaiting until the patient notices blurred vision
CA yearly blood test for HbA1c only
DChecking the pupils with a torch at every visit
2.쉬움
A patient with advanced CKD has a high potassium. Which foods are often limited?
AWhite rice, pasta and bread
BBananas, potatoes and oranges
CEgg whites, chicken and fish
DApples, berries and cabbage
3.쉬움
Which group of symptoms is classic for meningitis?
AFever, headache and neck stiffness
BFlank pain, fever and painful urination
CChest pain, cough and wheeze
DJoint pain, rash on the cheeks and hair loss
4.보통
A man starts finasteride for an enlarged prostate. Which statement is correct?
AIt lowers the blood pressure, so dizziness is very common
BIt works within hours by relaxing the bladder muscle
CIt takes months to work; pregnant women must not handle broken tablets
DIt is used only for a few days at a time
5.보통
뇌관류압(CPP)은 어떻게 계산합니까?
A평균 동맥압에서 두개내압을 뺀 값
B이완기 혈압에서 중심정맥압을 뺀 값
C평균 동맥압을 심박수로 나눈 값
D수축기 동맥압에 두개내압을 더한 값
6.보통
A patient with myasthenia gravis wants to plan a busy day. Which advice fits the disease?
ADo the hardest tasks in the evening when muscles are warmed up
BDo demanding tasks in the morning or when the drug works best
CAvoid rest periods, because rest makes the weakness worse
DExercise to exhaustion so the muscles get stronger quickly
7.어려움
A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?
AA sign that the patient is pretending to be weak
BNormal postictal tiredness that needs no further assessment or imaging at all
CCertainly a stroke, so the seizure can be ignored
DPossible postictal (Todd's) paresis, but a stroke must still be excluded
8.어려움
제1형 당뇨병 환자가 내일 수술을 앞두고 금식 중입니다. 가장 안전한 계획은?
A밤사이 소변 케톤이 강양성이 될 때만 인슐린을 준다
B혈당 확인과 함께 일부 인슐린(기저 인슐린 또는 변속 정맥 주입)을 계속한다
C환자가 다시 정상적으로 먹고 마실 때까지 모든 인슐린을 중단한다
D식사를 하지 않아도 평소 식사 시간 인슐린을 준다
정답표
1. A · Regular eye screening with retinal photographs
2. B · Bananas, potatoes and oranges
3. A · Fever, headache and neck stiffness
4. C · It takes months to work; pregnant women must not handle broken tablets
5. A · 평균 동맥압에서 두개내압을 뺀 값
6. B · Do demanding tasks in the morning or when the drug works best
7. D · Possible postictal (Todd's) paresis, but a stroke must still be excluded