2023년도 Resident Vol. 1 (내과)

2023년도 Resident Vol. 2 (외과, 산부인과, 소아과)

2023년도 Resident Vol. 1 (내과)

머리말

안녕하세요.

이 책을 펼치기까지 기나긴 여정 동안 고생이 많으셨습니다. 인턴수련의 힘든 시간을 지나 이제 전공을 선택할

때가 왔습니다. 앞으로 어떤 길을 살아갈지 고민하는 속에서 전공의 선발시험은 걸림돌이 되어서는 안 됩니다.

지난 몇 년간 전공의 시험이 굉장히 쉽게 출제 되었습니다. 90문제 이상은 맞춰야 확실한 고득점이라고 얘기할

수 있을 정도로 시험의 난이도가 쉬운 편이었습니다. 전반적으로 쉽게 나올 것이라고 예측해 볼 수 있으나 그만큼

완벽하게 준비를 하는 것이 중요할 것입니다. 또 수험생들은 문제의 난이도에 대해서는 두 가지 시나리오를 모두

염두에 두며 준비해야겠습니다. 문제가 쉽게 출제되던, 어렵게 출제되던 결국은 다른 수험생들, 지원자들과의 상대

적인 점수가 중요한 것이므로, 꼼꼼히 문제를 풀며 대비를 해야겠습니다.

가장 먼저 할 일은 기출문제를 철저하게 분석하는 것입니다. 이 책은 빈출 문제, 최근 기출 문제를 담으려고 노력

하였으며 난이도 및 수험생이 중요하게 생각해야 할 문제를 선별해서 공부할 수 있게 문제 상단에 난이도 표시도

해두었습니다. 시간이 없는 수험생들이나 여러 번 복습을 할 수 있는 여건이 되는 수험생들께서는 난이도 표시를

잘 활용하시면 좋겠습니다.

또한 절대 틀려서는 안 될 문제에 대해 잘 대비할 수 있도록 작년보다 문제량과 이론을 더 보강하기도 하였습니다.

시간 여유가 되는 수험생의 경우 본 출판사에서 나온 3개년도 상세해설집과 final check 등의 책을 같이 공부하

시는 것이 도움이 되겠습니다.

1. 전공의 선발시험은 KMLE와는 다릅니다. 문항 수도 적을 뿐더러 자주 출제되는 단원과 그렇지 않은 단원의

비중 편차가 큽니다. 이 책에서 생략한 단원은 그러한 이유 때문입니다.

2. 사진의 출제 비중이 매우 높습니다. 사진을 제대로 이해하지 못하면 오답을 고를 위험성이 높습니다. 상대평가

인 시험이므로 사진 문제를 놓치면 당락에 영향을 줍니다.

3. K형 유형의 문제는 전혀 출제되지 않습니다. A형 문제만 반복해 익히는 것이 효율적입니다.

4. 최근 2~3년간 기출 문제들이 상당히 많이 반복되고 있습니다. 기출 문제는 확실히 익혀 놓도록 합시다. 지문만

봐도 답이 떠올라야 합니다.

5. 이론 파트에 최신 6개년도 기출문제(2017년~2022년)를 음영표기하여 효율적인 학습이 가능하도록 편집하였

습니다.

전공의 시험은 KMLE 시험과 문제의 출제 비율이 다릅니다. 내과에 비해 상대적으로 외과, 소아과, 산부인과에서

많은 문제가 출제됩니다. 따라서 공부할 때, 시간이 한정적이라면 내과 이외의 과목을 소홀히 하지 않아야 합니다.

전공의 시험은 기존에 출제된 문항수가 적어, KMLE와 같이 문제를 위주로 한 공부만으로는 의학의 넓은 영역을

모두 공부하기 어렵습니다. 시간이 허락된다면 이전에 공부했던 자료들을 이 책과 함께 정리하며 공부하시기 바랍

니다.

전공의 시험을 준비하는 선생님들께 좋은 결과가 있기를 바랍니다.

2022년 4월

내과출제경향

내과 part입니다. 내과는 100문제 중에 30문제가 출제되고 있으며, 그 중요성은 어느 과를 전공하던 중요하다고

할 수 있겠습니다. 다만, 전공의 시험에서는 특정 부분에 치우쳐서 출제되는 경향이 있습니다. 이 문제집에 수록된

문제들을 보시면, 어느 정도 감이 오실 것이라고 생각이 됩니다.

이 문제집은 KMLE처럼 10권 넘게 구성할 수 있는 문제집이 아니라, 인턴 선생님들 혹은 군복무 중인 선생님들께

서 짧은 시간 동안 압축해서 효율적으로 공부할 수 있도록 되어 있는 문제집입니다. 따라서, 이 문제집에는 해설

부분을 충분하게 담기는 어렵습니다. 이 문제집을 풀면서 어려운 부분이 있으면, 동화 KMLE 문제집이나, 3개년

상세해설집, FINAL check 등의 요약본 등을 보면서, 혹은 KMLE 시험 때 각자가 정리해놓은 자료 등을 참고해

서, 내용을 정리해 보는 것을 추천 드립니다.

이 문제집은 Harrison 최신판에 최대한 근접한 설명을 하기 위해 노력하였으며, 임상 현장에서의 내용들을 바탕으

로 한 문제들을 위해 다양한 내용을 담기 위해 노력하였습니다. 이 책만 반복하여 풀어도 전공의 시험 내과 부분의

준비는 부족함이 없을 것입니다. 올해 출제된 30문제는 꼭 숙지하시기 바랍니다.

1. 순환기 ······································································································· 1

2. 호흡기 ······································································································ 95

3. 소화기 ···································································································· 183

4. 내분비 ···································································································· 307

5. 신장 ······································································································· 371

6. 혈액 ······································································································· 421

7. 종양 ······································································································· 463

8. 감염 ······································································································· 475

9. 류마티스 ································································································· 531

10. 알레르기 ································································································· 565

2023년도 Resident Vol. 2 (외과, 산부인과, 소아과)

외과 파트입니다.

외과 파트의 경우 총 100문제에서 30문제가 출제되고 있습니다. 외과 파트의 특성상 기존에 있던 외과 내용

뿐만 아니라, 술기나 수술, 외상 혹은 내과, 응급의학과에 관한 문제도 다수 출제가 되고 있습니다. 특히나

올해는 기존 외과 영역 이외에서 많이 출제가 된 것 같습니다.

따라서 수험생들이 다소 당황할 수도 있으나, 기존에 알고 있던 지식을 바탕으로(예를 들어 외상 환자에서의

ABC 순서 등) 잘 적용한다면, 답을 찍는(?) 데에는 크게 어려움이 없을 것이라 사료됩니다. 가장 중요한

것은 기본 원칙임을 숙지하면서, 문제집을 보면 좀 더 정답률을 높일 수 있을 것입니다.

이 책은 Sabiston, 외과학의 최신 버전을 기준으로 작성되었으며, 임상 현장에서의 문제들도 최대한 담기

위해 노력하였습니다. 압축하여 만든 문제집이기 때문에 어려운 부분이 있다면, 그 부분이 빈출, 고득점을

위한 부분일 것이므로, 3개년도 상세해설집이나 FINAL check 요약본 등과 같이 보면서 내용 정리를 잘

해놓을 것을 추천 드립니다. 그럼 올해 출제된 30문제를 잘 숙지해 주시기 바랍니다!

외과(총론)

01. 쇼크 ················································································································· 2

02. 수혈과 외과적 출혈 ······················································································ 12

03. 외과 환자에서의 대사 ··················································································· 19

04. 상처 치유 ······································································································ 27

05. 수술 전 준비 원칙 ························································································ 30

06. 수술의 원칙 ·································································································· 33

07. 외과적 감염 ·································································································· 39

08. 외과적 합병증 ······························································································· 46

09. 마취 ··············································································································· 58

10. 외상 ··············································································································· 61

11. 화상/한랭 손상/중독 ····················································································· 84

12. 물림 ··············································································································· 90

13. 이식 ··············································································································· 93

14. 기본 술기 ······································································································ 99

15. 고온 장애 ··································································································· 121

외과(각론)

01. 유방 ············································································································ 126

02. 갑상선과 부갑상선 ······················································································ 144

03. 복벽, 배꼽, 복막, 장간막, 그물막, 후복막 ················································ 156

04. 탈장 ············································································································ 158

05. 위와 샘창자 ································································································ 163

06. 소장 ············································································································ 181

07. 막창자 꼬리 ································································································ 193

08. 대장과 직장 ································································································ 197

09. 항문관 ········································································································· 212

10. 간, 담도계 ·································································································· 219

11. 비장 ············································································································ 237

12. 췌장 ············································································································ 238

13. 동맥계 ········································································································· 242

14. 정맥계 ········································································································· 250

15. 소아외과 ····································································································· 255

산과 파트입니다.

산부인과 파트의 경우 총 100문제에서 20문제가 출제되고 있습니다. 산과와 부인과가 비슷한 정도로 출제되

고 있으나 그 정도는 매년 차이가 있습니다. 산부인과의 경우에는 KMLE에 비해서 난이도가 큰 차이는 나지

않아 투자 시간 대비 효율이 높은 과목이라 생각합니다. 그동안 기출에서 출제되었던 산부인과의 주요 질병들

의 진단 및 치료 위주로 공부하시면 고득점을 하는 데 큰 도움이 될 과목이라고 생각합니다. 올해는 비교적

평이했다고 볼 수 있습니다.

이 책은 Williams 및 Berek & Novak의 최신 버전을 기준으로 작성되었으며, 임상 현장에서의 문제들도

최대한 담기 위해 노력하였습니다. 압축하여 만든 문제집이기 때문에 어려운 부분이 있다면, 그 부분이 빈출,

고득점을 위한 부분일 것입니다. 그러므로 3개년도 상세해설집이나 FINAL check 요약본 등과 같이 보면서

내용 정리를 잘 해놓을 것을 추천드립니다. 그럼 올해 출제된 20문제를 잘 숙지해 주시기 바랍니다!

01. 여성생식기의 해부학 ···············································································280

02. 생식생리 ·····························································································285

03. 진단학 ································································································288

04. 착상, 태아 발생과 태반의 발달 ·····························································292

05. 태반 호르몬 ························································································293

06. 모체의 생리 ························································································294

07. 임신 진단 ···························································································297

08. 산전 관리 ···························································································299

09. 유전 상담과 산전 진단 ········································································302

10. 기형학 : 임신 중 약물 및 방사선 조사 ·················································306

11. 산과 초음파 ·······················································································310

12. 산전 태아건강 평가 ············································································315

13. 태아의 태축, 태위, 태세 및 태향 ·························································319

14. 후두위 태아의 정상 분만 기전 ·····························································320

15. 정상 진통과 분만 ···············································································321

16. 분만 중 태아건강 평가 ········································································327

17. 비정상 진통과 분만 : 난산 & 급속 분만 ················································335

18. 수술적 산과학 ·····················································································343

19. 산욕기 이상 ························································································344

20. 유산 ···································································································348

21. 딴곳임신 ·····························································································355

22. 조산 ····································································································361

23. 과숙임신 ····························································································368

24. 태아발육부전 ························································································369

25. 양수의 이상, 다태임신 ···········································································373

26. 산과적 출혈 ··························································································376

27. 임신 중 고혈압성 질환 ··········································································391

28. 임신 중 동반질환 ··················································································396

부인과 파트입니다.

산부인과 파트의 경우 총 100문제에서 20문제가 출제되고 있습니다. 산과와 부인과가 비슷한 정도로 출제되고

있으나 그 정도는 매년 차이가 있습니다. 산부인과의 경우에는 KMLE에 비해서 난이도가 큰 차이는 나지 않으며

따라서 투자 시간 대비 효율이 높은 과목이라 생각합니다. 그동안 기출에서 출제되었던 산부인과의 주요 질병들의

진단 및 치료 위주로 공부하시면 고득점을 하는 데 큰 도움이 될 과목이라고 생각합니다.

이 책은 Williams 및 Berek & Novak의 최신 버전을 기준으로 작성되었으며, 임상 현장에서의 문제들도 최대한

담기 위해 노력하였습니다. 압축하여 만든 문제집이기 때문에 어려운 부분이 있다면, 그 부분이 빈출, 고득점을

위한 부분일 것입니다. 그러므로 3개년도 상세해설집이나 FINAL check 요약본 등과 같이 보면서 내용 정리를

잘 해놓을 것을 추천드립니다. 그럼 올해 출제된 20문제를 잘 숙지해 주시기 바랍니다!

01. 비정상 자궁 출혈 ····················································································408

02. 자궁근종 ································································································410

03. 자궁선근증 ·····························································································414

04. 월경곤란증 & 월경전 증후군 ····································································416

05. 여성 생식기 감염 ····················································································419

06. 가족계획 ································································································425

07. 사춘기 ···································································································429

08. 무월경 ····································································································431

09. 내분비 이상 ····························································································437

10. 자궁내막증 ······························································································442

11. 불임증 ····································································································447

12. 보조생식술 ······························································································454

13. 자궁경부 상피내 종양 ···············································································461

14. 침윤성 자궁경부암 ···················································································463

15. 자궁내막증식증 ························································································469

16. 자궁내막암 ······························································································472

17. 난소 양성 종양 ························································································475

18. 난소암 ·····································································································479

19. 임신성 융모성 질환 ···················································································488

20. 외음부암 및 질암 ······················································································495

21. 요실금 ·····································································································497

22. 골반 장기 탈출증 ······················································································502

23. 폐경 ·········································································································505

소아청소년과 총론 파트입니다.

소아청소년과 파트의 경우 총 100문제에서 20문제가 출제되고 있습니다. 소아청소년과 총론보다는 각론에서 더

많이 출제되는 경향이 있으나 매년 그 정도의 차이가 있습니다. 소아청소년과의 경우에는 KMLE에 비해서 난이도

가 큰 차이는 나지 않으며 따라서 투자 시간 대비 효율이 높은 과목이라 생각됩니다. 그동안 기출에서 출제되었던

소아청소년과의 주요 질병들의 진단 및 치료 위주로 공부하시면 고득점을 맞는 데 큰 도움이 될 과목이라고 생각합

니다.

이 책은 홍창의 소아과학의 최신 버전을 기준으로 작성하였으며, 임상 현장에서의 문제들도 최대한 담기 위해 노력

하였습니다. 압축하여 만든 문제집이기 때문에 어려운 부분이 있다면, 그 부분이 빈출, 고득점을 위한 부분일 것이

므로, 3개년도 상세해설집이나 FINAL check 요약본 등과 같이 보면서 내용 정리를 잘 해놓을 것을 추천드립니다.

그럼 올해 출제된 20문제를 잘 숙지해 주시기 바랍니다!

01. 서론 & 성장과 발달 ····················································································512

02. 아동기 정신 장애 ························································································522

03. 소아의 영양 ································································································525

04. 예방 소아과학 & 소아의 치료원칙 ································································532

05. 수분과 전해질 평형 ·····················································································534

06. 유전 ···········································································································541

07. 유전대사질환 ·······························································································547

08. 정상 신생아 ·································································································552

09. 신생아 질환 ·································································································557

10. 감염병 ·········································································································582

11. 면역학 ·········································································································604

소아청소년과 각론 파트입니다.

소아청소년과 파트의 경우 총 100문제에서 20문제가 출제되고 있습니다. 소아청소년과 총론보다는 각론에서 더

많이 출제되는 경향이 있으나 매년 그 정도의 차이가 있습니다. 소아청소년과의 경우에는 KMLE에 비해서 난이도

가 큰 차이는 나지 않으며 따라서 투자 시간 대비 효율이 높은 과목이라 생각됩니다. 그동안 기출에서 출제되었던

소아청소년과의 주요 질병들의 진단 및 치료 위주로 공부하시면 고득점을 맞는 데 큰 도움이 될 과목이라고 생각합

니다.

이 책은 홍창의 소아과학의 최신 버전을 기준으로 작성하였으며, 임상 현장에서의 문제들도 최대한 담기 위해 노력

하였습니다. 압축하여 만든 문제집이기 때문에 어려운 부분이 있다면, 그 부분이 빈출, 고득점을 위한 부분일 것이

므로, 3개년도 상세해설집이나 FINAL check 요약본 등과 같이 보면서 내용 정리를 잘 해놓을 것을 추천드립니다.

그럼 올해 출제된 20문제를 잘 숙지해 주시기 바랍니다!

01. 소화기 질환 ····································································································612

02. 호흡기 질환 ····································································································627

03. 심혈관 질환 ····································································································644

04. 혈액 질환 ·······································································································657

05. 종양 질환 ·······································································································669

06. 신⋅요로 질환 ································································································677

07. 내분비 질환 ···································································································690

08. 중추신경계 질환 ·····························································································704

09. 말초신경-근육질환 ··························································································722

10. 골격계 질환 ····································································································727

11. 알레르기 질환 ·································································································730

12. 결체조직 질환 ·································································································738

13. 피부 질환 ········································································································742

14. 손상과 중독 ·····································································································743

2022년 5월 30일 인쇄

2022년 6월 5일 발행

편 저 : 코리아메드북스 학술팀 편

발행자 : 최 우 석

발행처 : 코리아메드북스

ISBN 979-11-91501-41-4

정가 94,000원 (Vol. 1-2 set)