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2025대비 동화KMLE 소화기내과

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2024년도 88회 의사국가시험은 매년 필수 출제되는 문제들도 다른 치료 방법과 새로운 치료 약제를 묻는 문제들로 변화되었으며, 최근 출제 경향에서 크게 벗어나지 않았지만 기존 족보에서 벗어난 생소한 문제들이 다수 출제되었습니다. 단순 암기형보다는 문제해결형 문항으로 대부분 출제되었고, 몇 개의 과목 내용들이 통합이 된 문제들도 점점 늘어나고 있습니다. 기존의 기출 문제들은 지문의 증상들과 사진을 보고 바로 답을 떠올리거나, 객관적 사실 암기를 통해 풀 수 있었던 문제들이었던 반면 최근에는 전반적인 진단 과정 및 일차적 치료뿐만 아니라 그 차선책까지 묻는 문항들이 늘어나고 있습니다. 지엽적인 지식보다는 각 파트의 기본항목에 해당하는 질병들의 진단기준과 감별해야 할 질환들 및 치료 방법 등 실제 임상적인 상황과 표현들을 위주로 공부하는 것이 효율적일 것입니다.

1. 2025년도 의사국가시험 대비 동화KMLE는 이러한 출제 경향의 변화에 맞춰 타출판사에서 전부 삭제하였던 확장결합형(R형) 문제들을 단일정답형(A형) 문제로 전부 변환하였습니다. 문제수가 320문제로 줄었기 때문에 꼭 맞춰야 되는 문제들을 틀리게 되면, 점수 하락이 크기 때문에 더욱 꼼꼼히 공부를 해야 됩니다. 따라서 단순 문제풀이는 지양하고 이론학습 후에 문제풀이를 순서로 공부하시면 개념에 대한 이해의 폭을 더욱 넓혀나갈 수 있습니다. 또한 같은 질병이라도 특정한 임상양상을 보이는 경우에 따라서 치료법이 달라지는 문항이 다수 출제되었으므로 치료에 대해 포괄적이고 종합적으로 접근하는 방향으로 공부를 해야 할 것입니다. 그리고 빈출되는 질환의 영상 해설 자료를 기출문제 풀이에 자세히 달아놨으니 영상 해설도 꼼꼼히 확인하면서 공부하시면 됩니다.

2. 2025년도 의사국가시험 대비 동화KMLE에서는 순환기, 호흡기 파트를 비롯해서 새로운 진단 기준이 바뀐 부분에 대해 최대한 본문에 수록을 하도록 노력하였습니다. 의료법규 파트에서는 기존의 출제되지 않았던 생소한 내용의 법률이 출제되어 난이도가 높았습니다. 의료법규의 경우 다른 파트와 비교해 공부를 소홀히 하는 경향이 있는데 20문제밖에 되지 않아 과락(8문제 미만)이 되지 않도록 주의해야 할 것입니다. 예방의학의 경우 대부분 그동안 기출에서 나왔던 경향에서 크게 벗어나지 않은 문제들로 난이도는 평이했지만 다소 생소한 문제가 2~3문제 출제되었습니다. 정신과와 산부인과의 경우 다른 과목들에 비해 기존의 출제되던 틀에서 거의 벗어나지 않고 출제되고 있어 투자 시간 대비 효율이 가장 높은 과목들로 생각됩니다. 그동안 기출에서 출제되었던 정신과 및 산부인과의 주요 질병들의 진단 및 치료 위주로 공부하시면 고득점을 맞는데 큰 도움이 될 과목이라고 생각합니다.

3. 2025년도 의사국가시험 대비 동화KMLE는 최신 의사국가시험 10개년도의 출제년도를 이론본문에 표기함으로써 빈출되는 진단기준과 치료약제, 검사방법을 확실히 익힐 수 있도록 하였습니다. 단순히 국가시험 합격만을 목표로 하는 것이 아니라, 고득점이 필요한 학생들은 동화KMLE가 최선의 선택이 될 것임을 자부하며, 앞으로도 수험생 여러분들이 공부하는데 편리함을 제공하도록 노력하겠습니다.

아무쪼록 2025년도 동화KMLE가 의사국가시험을 대비해 열심히 학업에 힘쓰고 계시는 여러분들의 학습에 큰 도움이 되길 바랍니다. 감사합니다!

2024년 3월. Dr. Lee

목차

01. 소화기질환의 검사 ·····································································································1
02. 소화기질환의 증상 ···································································································10
03. 식도질환 ················································································································110
04. 소화궤양성 질환 ····································································································188
05. 위 종양 ··················································································································223
06. 흡수장애 ················································································································244
07. 염증성 장질환 ·······································································································256
08. 소장 및 대장질환 ··································································································323
09. 소장 및 대장종양 ··································································································399
10. 간질환에 대한 접근 ······························································································430
11. 간기능검사의 해석 ································································································434
12. 빌리루빈 대사와 고빌리루빈 혈증 ·······································································441
13. 급성 바이러스간염 ································································································450
14. 만성 간염 ··············································································································477
15. 독성 및 약인성 간염 ····························································································505
16. 알코올성 간질환 ····································································································512
17. 간경변증 ················································································································521
18. 간경변증의 주요 합병증 ·······················································································537
19. 대사성, 침착, 감염성 간질환 ···············································································611
20. 간세포암종 ·············································································································644
21. 담낭질환 ················································································································692
22. 담도질환 ················································································································721
23. 췌장질환에 대한 접근 ···························································································794
24. 급성 및 만성 췌장염 ····························································································797
25. 췌장종양(이자종양) ································································································858

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