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이름: ____________________ 날짜: ____________
1.쉬움
What does aldosterone do?
AMakes the kidneys lose sodium and keep potassium
BRaises the blood glucose between meals
CLowers the blood calcium after meals
DMakes the kidneys keep sodium and lose potassium
2.쉬움
애디슨병(원발성 부신 기능부전)에 전형적인 특징은?
A피로, 체중 감소, 낮은 혈압, 검은 피부
B체중 증가, 높은 혈압, 자주색 튼살
C더위를 못 견딤, 떨림, 돌출된 눈
D높은 혈중 나트륨과 낮은 혈중 칼륨
3.쉬움
Which description best fits an absence seizure?
AStiffening and then jerking of all four limbs for several minutes
BA sudden loss of muscle tone that makes the person fall
CJerking that starts in one hand and spreads up the arm
DA brief staring spell of a few seconds with a quick return to normal
4.보통
After a change in the levothyroxine dose, when is the TSH usually rechecked?
AAfter 3 days
BAfter about 6–8 weeks
CAfter about 2 years of treatment
DAfter 24 hours
5.보통
A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?
AA persistent dry cough and a raised potassium
BNausea, diarrhoea and a slow heart rate
CWeight gain, high glucose and swollen ankles
DDry mouth, constipation and a fast heart rate
6.보통
갑상선 수술 일주일 후에도 환자의 목소리가 여전히 쉬고 약합니다. 가장 가능성 높은 합병증은?
A부갑상선 손상으로 인한 낮은 칼슘
B접착 드레싱 테이프에 대한 알레르기 반응
C반회후두신경 손상
D수술로 인한 갑상선 위기
7.어려움
A patient with a known ureteric stone develops a fever of 39 °C (102.2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?
AUrgent drainage of the kidney plus IV antibiotics
BOral antibiotics and waiting for the stone to pass
CStrong pain relief alone, then discharge
DA fluid restriction to reduce the swelling
8.어려움
A patient's glucose is 6.2 mmol/L (112 mg/dL) at 03:00 and 12 mmol/L (216 mg/dL) before breakfast. No hypoglycaemia occurred overnight. What is the most likely explanation?
AThe meter is faulty and should be replaced
BThe Somogyi effect from a night-time hypo
CThe dawn phenomenon from early-morning hormones
DA large snack eaten in the night by mistake
정답표
1. D · Makes the kidneys keep sodium and lose potassium
2. A · 피로, 체중 감소, 낮은 혈압, 검은 피부
3. D · A brief staring spell of a few seconds with a quick return to normal
4. B · After about 6–8 weeks
5. B · Nausea, diarrhoea and a slow heart rate
6. C · 반회후두신경 손상
7. A · Urgent drainage of the kidney plus IV antibiotics
8. C · The dawn phenomenon from early-morning hormones