홈앤서비스 SK BROADBAND

2025년 대비 Pacific KMLE에서는 점차 변화해가는 의사국가고시 유형에 맞게 문제를 편집하여 해설하였고 올해 새롭게 출제된 문제와 관련된 이론 부분을 강화하여, 앞으로 어떤 부분에서 어떤 유형의 문제가 나오더라도 여러분들이 쉽게 풀어낼 수 있도록 노력하였다. 또한 각 단원의 서두에 최근 국가고시 출제 경향 및 중요하게 다루어야 할 개념들에 대해 짤막한 언급을 실어 공부를 본격적으로 시작하기에 앞서 개략적인 내용을 파악할 수 있도록 하였다.

신 장
수분 및 전해질 대사 _13
수분 및 전해질 대사－일반적 고찰 ···························································· 1 3
신세뇨관의 기능 및 이뇨제의 작용 ···························································· 1 5
요농축 ··········································································································· 2 2

세관기능장애 _24
신세뇨관 산증 ······························································································· 2 4
선천 세관 기능 장애 ··················································································· 2 9
수분 및 전해질 대사장애 _32
고칼륨혈증 ···································································································· 3 2
저칼륨혈증 ···································································································· 3 8
저나트륨혈증/고나트륨혈증 ·········································································· 4 4
혈량저하증 ···································································································· 4 8
C i r c u l a t o r y c o m p r o m i s e w i t h o u t E C F l o s s e s ········· 5 0

산－염기 대사장애 _54
D e t e r m i n a t i o n o f a c i d - b a s e d i s o r d e r s ········· 5 4
대사성 산증 ·································································································· 5 5
대사성 알칼리증 ··························································································· 6 3

콩팥질환의 접근 _69
콩팥 기능 검사 ····························································································· 6 9
B U N / C r r a t i o ·········································································· 7 2
단백뇨 ··········································································································· 7 3
농뇨 ··············································································································· 7 9
혈뇨 ··············································································································· 8 0
소변검사 ········································································································ 8 7
특발성 부종 ·································································································· 8 9
급성콩팥기능상실 _91
급성 신손상 ·································································································· 9 1
N e p h r o t o x i c A K I ··········································· 1 0 7

만성콩팥기능상실/신대체요법 _115
만성신부전의 원인 및 진단 ······································································· 1 1 5
만성신부전의 합병증(1)·수분, 전해질, 내분비 및 대사 이상 ·············· 1 2 1
만성신부전의 합병증(2)·칼슘 대사 및 신성 골이영양증 ······················ 1 2 4
만성신부전의 합병증(3)·혈액질환, 심혈관계, 신경계 ··························· 1 2 9
만성신부전의 악화 인자 ············································································ 1 3 4
만성신부전의 치료(1)·보존적 치료 ························································· 1 3 4
만성신부전의 치료(2)·혈액투석, 복막투석, 콩팥이식 ··························· 1 3 8

콩팥토리 질환 _147
사구체 질환의 접근 ··················································································· 1 4 7
콩팥증후군(신증후군) ················································································· 1 5 2
막토리콩팥염 ······························································································· 1 5 8
국소토리굳음증 ··························································································· 1 6 0
막증식토리콩팥염 ······················································································· 1 6 4
루푸스 신염 ································································································ 1 6 7
사슬알균 감염 후 토리콩팥염 ··································································· 1 7 0
IgA 콩팥병증 ····························································································· 1 7 5
유전성 혈뇨질환 ························································································· 1 7 9
급속진행토리콩팥염 ···················································································· 1 8 2
기타 토리 질환 ··························································································· 1 8 4

콩팥세관사이질/혈관 질환 _195
세관사이질 콩팥염 ····················································································· 1 9 5
알레르기성 세관사이질콩팥염 ··································································· 1 9 6
신혈관성 고혈압 ························································································· 2 0 0
신동맥의 혈전색전성질환 ··········································································· 2 0 2

콩팥세관 질환 _209
다낭신 ········································································································· 2 0 9

요로돌 _214
요로돌(요로결석) ························································································ 2 1 4

요로감염 _219
요로감염 ······································································································ 2 1 9
무증상 세균뇨 ····························································································· 2 2 5
급성 방광염 ································································································ 2 2 8
급성 깔때기콩팥염(급성 신우신염) ··························································· 2 3 2
기타 요로 감염 ··························································································· 2 3 9

감 염
감염성 질환에 관한 기본 고찰 _245
발열 ············································································································· 2 4 5
불명열 ········································································································· 2 4 6
감염성 질환에 관한 기본 고찰 ································································· 2 5 0
항생제 ········································································································· 2 5 1
예방적 항생제 ····························································································· 2 5 7
배양 ············································································································· 2 5 9

지역사회 감염증 _262
설사 ············································································································· 2 6 2
식중독 ········································································································· 2 6 4
비장티푸스성 살모넬라 ·············································································· 2 7 2
세균성 이질 ································································································ 2 7 3
콜레라 ········································································································· 2 7 5

병원 내 감염 _277
원내감염 ······································································································ 2 7 7
거짓막 결장염 ····························································································· 2 8 3
Neutropenic patient의 i n f e c t i o n ·················································· 2 8 9
도관 감염 ···································································································· 2 9 3

그람양성균에 의한 질환 _296
연조직염(봉와직염) ····················································································· 2 9 7
단독, 얕은연조직염 ···················································································· 2 9 8
괴사근막염 ·································································································· 2 9 9
가스괴저 ······································································································ 3 0 0
파상풍 ········································································································· 3 0 8
포도알균 감염 ····························································································· 3 1 3
포도알균에 의한 M u s c u l o s k e l e t a l i n f e c t i o n ··········· 3 1 4
포도알균에 의한 독성쇼크증후군 ······························································ 3 15
포도알균화상피부증후군 ············································································· 3 1 6
사슬알균 인두염 ························································································· 3 2 0
리스테리아 감염증 ····················································································· 3 2 1

그람음성균에 의한 질환 _323
대장균 감염 ································································································ 3 2 4
녹농균 감염 ································································································ 3 2 6
장티푸스 ······································································································ 3 2 9
괴저병 ········································································································· 3 3 2
레지오넬라 ·································································································· 3 3 7
임균 감염 ···································································································· 3 4 0
수막알균 감염 ····························································································· 3 4 1
브루셀라증 ·································································································· 3 4 3
묘소병 ········································································································· 3 4 4

기타 세균 감염증 _347
비산소균감염 ······························································································· 3 4 7
방선균증(바큇살균증) ················································································· 3 5 1
한센병(나병) ······························································································· 3 5 2
노카르디아증 ······························································································· 3 5 4

스피로헤타병 _357
매독 ············································································································· 3 5 7
라임병 ········································································································· 3 6 2
재귀열 ········································································································· 3 6 3
렙토스피라증 ······························································································· 3 6 8

리케차, 미코플라즈마 _372
R i c k e t t s i a l d i s e a s e s ································ 3 7 2
쯔쯔가무시병 ······························································································· 3 7 3
큐열 ············································································································· 3 7 5
S c r u b t y p h u s v s . L e p t o s p i r o s i s v s . H F R S ············································· 3 7 6
폐렴미코플라스마 ······················································································· 3 7 8

바이러스 질환 _382
신증후군 출혈열 ························································································· 3 8 2
중증열성혈소판감소증후군 ········································································· 3 8 8
뎅기열 ········································································································· 3 9 1
지카 바이러스 감염증 ················································································ 3 9 3
아데노바이러스 감염 ·················································································· 3 9 7
코로나바이러스감염증- 1 9 ··········································································· 3 9 9
중동 호흡기 증후군 ··················································································· 4 0 1
Epstein-Barr 바이러스 감염 ······································································ 4 0 2
거대세포바이러스 감염 ·············································································· 4 0 8
후천면역결핍증후군 ···················································································· 4 1 1
인플루엔자 ·································································································· 4 2 0
단순 포진 감염 ··························································································· 4 2 4
수두－대상포진 바이러스 감염 ································································· 4 2 8
광견병 ········································································································· 4 3 4

진균 감염 _437
폐포자충폐렴 ······························································································· 4 3 7
아스퍼질루스증 ··························································································· 4 4 1
털곰팡이증 ·································································································· 4 4 2
칸디다증 ······································································································ 4 4 7
크립토코쿠스증 ··························································································· 4 5 0
히스토플라스마증 ······················································································· 4 5 1

원생동물 감염 _453
말라리아 ······································································································ 4 5 3
톡소플라즈마증 ··························································································· 4 6 2
아메바증 ······································································································ 4 6 3
자유생활아메바증 ······················································································· 4 6 5

기생충 감염 _468
고래회충유충증 ··························································································· 4 6 8
폐흡충증 ······································································································ 4 7 1
간흡충증 ······································································································ 4 7 2
요충증 ········································································································· 4 7 5

기 타 _477
기회감염 ······································································································ 4 7 7
감기 ············································································································· 4 7 9
성인의 예방접종 ························································································· 4 8 1

참고문헌 _493
찾아보기 _496